Airway management: Uncleared cervical spine injury

Murthy, Tvsp; Bhatia, Parmeet; Gogna, RL; Prabhakar, T

doi:10.1016/s0973-0508(05)80022-x

Cited by 5 publications

(3 citation statements)

References 9 publications

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“…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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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%

Anaesthesia management in craniovertebral junctional anomalies

Mascarenhas

2016

J Craniovert Jun Spine

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“…However, video laryngoscopes (VLs) have been increasingly used in the initial airway management of these patients [ 5 ]. VL provides better visualization of the glottis and reduces cervical spine movement in cervical spine injury patients [ 6 , 7 ]. Compared with direct laryngoscopes, video laryngoscopes reduce the risk of intubation failure and increase first-attempt success rates [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Tracheal Intubation Using King Vision (Non-channeled Blade) and Tuoren Video Laryngoscopes in Patients With Cervical Spine Immobilization by Manual In-Line Stabilization: A Randomized Clinical Trial

Ramesh,

Srinivasan,

Bidkar

2023

Cureus

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Background: Glottic visualization on cervical immobilization with manual in-line stabilization (MILS) might be challenging in individuals with cervical spine injuries. We compared non-channeled King Vision video laryngoscope (VL) (Ambu GmbH, Bad Nauheim, Germany) with Tuoren video laryngoscope (Henan Tuoren Medical Device, Zhengzhou, China) for endotracheal intubation in patients with cervical spine immobilization. Methods: A total of 124 patients undergoing elective surgery under general anesthesia were included in this study. After induction of general anesthesia, patients were randomized into two groups (62 each): group K (non-channeled blade of King Vision video laryngoscope) and group T (Tuoren video laryngoscope). Cervical spine immobilization was achieved with manual in-line stabilization. The success of the first pass intubation, the time required to intubate, glottic visualization, and intubation difficulty score (IDS) were recorded. Results: The first-attempt success rate of intubation was 95.2% (59 out of 62 patients) in group K and 90.3% (56 out of 62 patients) in group T, which were comparable. The mean glottic visualization time was significantly less with group T (12.74 ± 6.32 seconds) compared to group K (17.92 ± 4.24 seconds). Intubation time was significantly faster with group K (18.79 ± 5.857 seconds) compared to group T (27.21 ± 8.514 seconds). Both video laryngoscopes provided good grades of glottic visualization. Conclusions: We conclude that the performance of the Tuoren video laryngoscope is similar to the King Vision video laryngoscope in terms of first-attempt intubation success rate and glottic visualization score in patients with cervical spine immobilization by manual in-line stabilization. Although glottic visualization time was shorter with Tuoren VL, we could achieve faster intubation with King Vision VL.

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“…With their unique blade design and a video camera or video chip positioned close to the tip of the laryngoscope blade, can provide better visualization of glottis with minimal or no the movement of cervical spine. [ 4 5 15 ] There are mainly three types of VL; (a) with a standard Mc Intosh type of blade, (b) one with more curved/angulated blade, and (c) one with channel for endotracheal tube passage. Each design has its own advantages and disadvantages.…”

Section: Introductionmentioning

confidence: 99%

Comparison of intubation success and glottic visualization using King Vision and C-MAC videolaryngoscopes in patients with cervical spine injuries with cervical immobilization: A randomized clinical trial

Shravanalakshmi¹,

Bidkar²,

Narmadalakshmi³

et al. 2017

Surg Neurol Int

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Background:Glottic visualization can be difficult with cervical immobilization in patients with cervical spine injury. Indirect laryngoscopes may provide better glottic visualization in these groups of patients. Hence, we compared King Vision videolaryngoscope, C-MAC videolaryngoscope for endotracheal intubation in patients with proven/suspected cervical spine injury.Methods:After standard induction of anesthesia, 135 patients were randomized into three groups: group C (conventional C-MAC videolaryngoscope), group K (King Vision videolaryngoscope), and group D (D blade C-MAC videolaryngoscope). Cervical immobilization was maintained with Manual in line stabilization with anterior part of cervical collar removed. First pass intubation success, time for intubation, and glottic visualization (Cormack – Lehane grade and percentage of glottic opening) were noted. Intubation difficulty score (IDS) was used for grading difficulty of intubation. Five-point Likert scale was used for ease of insertion of laryngoscope.Results:First attempt success rate were 100% (45/45), 93.3% (42/45), and 95.6% (43/45) in patients using conventional C-MAC, King Vision, and D blade C-MAC videolaryngoscopes, respectively. Time for intubation in seconds was significantly faster with conventional C-MAC videolaryngoscope (23.3 ± 4.7) compared to D blade C-MAC videolaryngoscope (26.7 ± 7.1), whereas conventional C-MAC and King Vision were comparable (24.9 ± 7.2). Good grade glottic visualization was obtained with all the three videolaryngoscopes.Conclusion:All the videolaryngoscopes provided good glottic visualization and first attempt success rate. Conventional C-MAC insertion was significantly easier. We conclude that all the three videolaryngoscopes can be used effectively in patients with cervical spine injury.

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Airway management: Uncleared cervical spine injury

Cited by 5 publications

References 9 publications

Anaesthesia management in craniovertebral junctional anomalies

Anaesthesia management in craniovertebral junctional anomalies

Comparison of Tracheal Intubation Using King Vision (Non-channeled Blade) and Tuoren Video Laryngoscopes in Patients With Cervical Spine Immobilization by Manual In-Line Stabilization: A Randomized Clinical Trial

Comparison of intubation success and glottic visualization using King Vision and C-MAC videolaryngoscopes in patients with cervical spine injuries with cervical immobilization: A randomized clinical trial

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