Airway management in patients with cervical spine trauma and neurological symptoms. Case reports
| Autor: | Miguel Castañeda Pascual, Miguel Salvador Bravo, Juan Pablo Jimeno García, Alejandro Bilbao Ares, Marta Patricia Martín Vizcaíno, Beatriz Merino Sierra |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Critical Care and Intensive Care Medicine Cervical spine Surgery 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Bronchoscopy 030202 anesthesiology Intervention (counseling) Anesthesia medicine Intubation Airway management In patient Cervical collar business 030217 neurology & neurosurgery |
| Zdroj: | Colombian Journal of Anesthesiology. 45:45-49 |
| ISSN: | 2256-2087 |
| Popis: | Patients with traumatic injuries of the cervical spine who undergo a surgical intervention are a great challenge to the anesthesiologist. The airway management inherently involves movements of the cervical spine that may aggravate pre-existing injury. Currently there is not a consensus for the technique of intubation of these patients. We present three patients with traumatic injuries associated neurological symptoms and cervical spine. All intubations were assisted with fiber bronchoscope, without removing the cervical collar and patients remained awake. All patients were examined again after intubation with no evidence of worsening of their neurological symptoms. We can conclude that the fiberoptic assisted intubation has several advantages in the care of these patients. |
| Databáze: | OpenAIRE |
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