Airway management of the trauma patient with cervical spine injury

Abrams, Kenneth J.; Grande, Christopher M.

doi:10.1097/00001503-199404000-00013

Cited by 5 publications

(4 citation statements)

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“…[1] This may complicate conventional direct laryngoscopy. The patient is anesthetized using a short-acting anesthetic, succinylcholine,[8] so that following intubation and positioning, a recovery of the respiratory functions determines that no cord injury has occurred during these procedures.…”

Section: Five Important Concerns That An Anesthetist Needs To Pay Attmentioning

confidence: 99%

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Anaesthesia management in craniovertebral junctional anomalies

Mascarenhas

2016

J Craniovert Jun Spine

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Craniovertebral Junctional (CVJ) anomalies are developmental disorders that affect the skeleton and enclosed neuraxis at the junction of cranium and cervical spine. The high prevalence of airway obstruction and restrictive pulmonary disease in combination with cardiovascular manifestations poses a high anaesthetic risk to these patients. This article provides a discussion of management of anaesthesia in patients with craniovertebral anomalies, the evaluation of risk factors in these patients and their management, including emergency airway issues.

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Section: Five Important Concerns That An Anesthetist Needs To Pay Attmentioning

confidence: 99%

“…In a very difficult airway, the Combitube[111] is a double lumen tube inserted blindly into the esophagus or trachea. The position of the tube is confirmed by the presence of breath sounds or capnography.…”

Section: Five Important Concerns That An Anesthetist Needs To Pay Attmentioning

confidence: 99%

Anaesthesia management in craniovertebral junctional anomalies

Mascarenhas

2016

J Craniovert Jun Spine

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“…For endotracheal intubation to be successful, a meticulous clinical and anatomophysiological assessment is required, in such a way that manipulation of the airway is simple and safe. However, it is often difficult and represents a challenge for anesthesiologists, even the most experienced [2]. The American Society of Anesthesiology (ASA) has developed in recent years an algorithm to follow in case of presenting a difficult and unexpected airway.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2016

ACC

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Introduction: The American Society of Anesthesiology (ASA) has developed in recent years an algorithm to follow in case of presenting a difficult or unexpected airway. In said algorithm various techniques or mechanisms different from direct laryngoscopy are mentioned that can help in a pressing situation. The laryngeal mask for intubation (Fastrach) is a device that has increased its popularity by playing an important role in the management of the airway Objective: To demonstrate that the laryngeal mask for intubation (Fastrach) is a useful device for the management of the airway and that it causes fewer complications than traditional intubation in patients undergoing general anesthesia. Materials and methods: We studied 100 patients of both sexes and ages between 20 and 90 years, physical status ASA I, II and III, scheduled for elective surgery and general anesthetic technique. The time of Fastrach intubation and endotracheal intubation in seconds, hemodynamic and oxygen saturation values and finally the complications during and at the end of the procedure (oral bleeding, mucosal laceration, and impossibility of intubation, odynophagia and dysphonia) were measured. Results: A statistically significant intubation time was obtained with p < 0.05 for the EIT with a time of 25.38 sec ± 13.68 sec and for the ML (Fastrach) of 57.04 sec ± 32.68 sec, the hemodynamic behavior remained practically the same in both cases. Groups and complications presented were more notable in the EIT mainly odynophagia and dysphonia. Conclusion: The use of the laryngeal mask for Fastrach intubation as an alternative in direct laryngoscopy for endotracheal intubation in patients with easy airway is viable, demonstrating fewer complications than traditional intubation, as well as being safe, useful and effective.

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“…A cervical spine injury should be suspected in all injury mechanisms involving blunt trauma. Patients with injury above the clavicles are at increased risk, and this is increased 4-fold if there is a clinically significant head injury (GCS < 9) 1 . Cervical spine injury is often occult, and secondary injury to the spinal cord must be avoided.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Airway management: Uncleared cervical spine injury

Murthy¹,

Bhatia²,

Gogna³

et al. 2005

The Indian Journal of Neurotrauma

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The potential for cervical spine injury makes airway management more complex in the trauma patient. Patients with injury above the clavicles are at increased risk, and this is increased 4-fold if there is a clinically significant head injury (GCS < 9). Cervical vertebrae, being highly mobile for flexion, extension and rotation in vertebral column, are the most vulnerable ones for fracture, subluxation and dislocation. Atlanto-axial dislocation may even be fatal. In patients suspected for cervical spine instability, manipulation of airway either in emergency or electively continues to figure prominently challenging in anaesthesia practice. The best outcome depends upon the patients' predicament and the practitioner's experience and expertise with technique and the skills with which it is performed

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Airway management of the trauma patient with cervical spine injury

Cited by 5 publications

References 0 publications

Anaesthesia management in craniovertebral junctional anomalies

Anaesthesia management in craniovertebral junctional anomalies

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Airway management: Uncleared cervical spine injury

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