Considerations for Airway Management for Cervical Spine Surgery in Adults

Crosby, Edward T.

doi:10.1016/j.anclin.2007.05.001

Cited by 36 publications

(10 citation statements)

References 108 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Consistent with this suggestion, a recent kinematics study in normal volunteers demonstrated cervical movement at and above C4 with mastication alone. 14 In an experiment to evaluate immobilization maneuvers using cadaver models with complete C4-C5 instability, MILI did not entirely eliminate movement at the site of the injury, although the movements were within physiological limits. We propose that the patient's airway compromise resulted from a spontaneous displacement of her fracture while in the rigid cervical collar.…”

Section: Discussionmentioning

confidence: 98%

Interval, acute onset airway obstruction associated with a fracture of the C4 vertebra in a patient with ankylosing spondylitis

Nahed

Walcott

Ortman

et al. 2010

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 98%

Interval, acute onset airway obstruction associated with a fracture of the C4 vertebra in a patient with ankylosing spondylitis

Nahed

Walcott

Ortman

et al. 2010

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

“…[14] While they may be necessary in some patients, they may interfere with the surgical access to the spine and increase implant or surgical site infections. Airway management for the shared airway is often complicated by pre-operative abnormalities, intraoperative considerations and post-operative complications.…”

Section: Discussionmentioning

confidence: 99%

Airway management in cervical spine ankylosing spondylitis: Between a rock and a hard place

2013

View full text Add to dashboard Cite

We report the perioperative course of a patient with long standing ankylosing spondylitis with severe dysphagia due to large anterior cervical syndesmophytes at the level of the epiglottis. He was scheduled to undergo anterior cervical decompression and the surgical approach possibly precluded an elective pre-operative tracheostomy. We performed a modified awake fibreoptic nasal intubation through a split nasopharyngeal airway while adequate oxygenation was ensured through a modified nasal trumpet inserted in the other nares. We discuss the role of nasal intubations and the use of both the modified nasopharyngeal airways we used to facilitate tracheal intubation. This modified nasal fibreoptic intubation technique could find the application in other patients with cervical spine abnormalities and in other anticipated difficult airways.

show abstract

“…Diskus intervertebralis berada diantara badan vertebral, dan terdiri dari anulus fibrosus, yang mengelilingi nukleus pulposus di bagian tengahnya. [3][4][5][6][7] Biomekanik Tulang Servikal Sekitar 50% dari pergerakan fleksi dan ekstensi dari tulang servikal terjadi melalui sendi atlantooksipital, demikian pula pergerakan rotasi 50% dilakukan oleh sendi tersebut. Sisanya dilakukan oleh tulang C3 hingga C7.…”

Section: Anatomiunclassified

Tatalaksana Jalan Napas pada Pasien dengan Fraktur Listesis Servikal Tidak Stabil

Rahmatisa

Sudadi

Suryono

2019

JNI

View full text Add to dashboard Cite

Cedera tulang belakang leher/cervical spine injury (CSI) tetap menjadi penyebab utama morbiditas dan mortalitas di negara maju. Sekitar 12.000 kasus baru cedera tulang belakang terjadi di Amerika Serikat setiap tahunnya. Kebanyakan dari cedera tersebut (55%) merupakan cedera servikal, sedangkan 15% merupakan cedera yang berhubungan dengan torakolumbal. Studi epidemiologis baru, menunjukkan bahwa cedera tulang belakang leher terjadi sekitar 1,8% hingga 4% pada kasus cedera trauma tumpul dan menyebabkan sekitar 6.000 kematian dan 5.000 kasus baru quadriplegia per tahun. Kasus laki-laki usia 55 tahun dengan riwayat trauma leher 5 bulan sebelum masuk rumah sakit. Pemeriksaan fisik didapatkan adanya tetraparese dan nyeri hebat pada daerah leher, terutama saat ekstensi kepala. Dari pemeriksaan laboratorium tidak didapatkan kelainan, dari pemeriksaan magnetic resonance imaging (MRI) leher didapatkan spondilolisthesis C6-7 berat sehingga korpus C6 di anterior C7. Dilakukan anestesia umum, dengan manajemen jalan napas intubasi manual in-line, serta menggunakan video laringoskop. Intubasi dilakukan 2 kali percobaan karena kesulitan visualisasi pita suara. Operasi berlangsung 10 jam, pasien kemudian dirawat di ICU selama 1 hari sebelum pindah ruang rawat biasa.

show abstract

Considerations for Airway Management for Cervical Spine Surgery in Adults

Cited by 36 publications

References 108 publications

Interval, acute onset airway obstruction associated with a fracture of the C4 vertebra in a patient with ankylosing spondylitis

Interval, acute onset airway obstruction associated with a fracture of the C4 vertebra in a patient with ankylosing spondylitis

Airway management in cervical spine ankylosing spondylitis: Between a rock and a hard place

Tatalaksana Jalan Napas pada Pasien dengan Fraktur Listesis Servikal Tidak Stabil

Contact Info

Product

Resources

About