Management of difficult airway in penetrating cervical spine injury

Autor: Mukesh Kumar Prasad, Ajay Kumar Sinha, Umesh Kumar Bhadani, Balbir Chabra, Kanchan Rani, Bhavana Srivastava
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Indian Journal of Anaesthesia, Vol 54, Iss 1, Pp 59-61 (2010)
Druh dokumentu: article
ISSN: 0019-5049
DOI: 10.4103/0019-5049.60501
Popis: Management of airway in trauma victim with penetrating cervical/thoracic spine injury has always been a challenge to the anaesthesiologist. Stabilisation of spine during airway manipulation, to prevent any further neural damage, is of obvious concern to the anaesthesiologist. Most anaesthesiologists are not exposed to direct laryngoscopy and intubation in lateral position during their training period. Tracheal intubation in the lateral position may be unavoidable in some circumstances. Difficult airway in an uncooperative patient compounds the problem to secure airway in lateral position. We present a 46-year-old alcoholic, hypertensive, morbidly obese person who suffered a sharp instrument (screwdriver) spinal injury with anticipated difficult intubation; the case was managed successfully.
Databáze: Directory of Open Access Journals