C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology

Autor: Yukihide Koyama, Koichi Tsuzaki, Kazuo Ohmori, Koichiro Ono, Takeshi Suzuki
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Saudi Journal of Anaesthesia, Vol 14, Iss 3, Pp 390-393 (2020)
Druh dokumentu: article
ISSN: 1658-354X
DOI: 10.4103/sja.SJA_782_19
Popis: Tracheal intubation is challenging in patients with severe cervical spine pathology. In such cases, awake fiberoptic intubation is the gold standard and safest option for tracheal intubation. However, this technique requires the patient's understanding and cooperation, and therefore, may be contraindicated in patients with refusal or poor tolerance. Herein, we report successful orotracheal intubation in a patient with limited mouth opening and severe cervical spine rigidity under general anesthesia using an extraglottic airway device and a gum-elastic bougie under C-arm fluoroscopic guidance.
Databáze: Directory of Open Access Journals