Cervical collar makes difficult airway: a simulation study using the LEMON criteria

Autor: Moonsu Yuk, Woonhyung Yeo, Kangeui Lee, Jungin Ko, Taejin Park
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Clinical and Experimental Emergency Medicine, Vol 5, Iss 1, Pp 22-28 (2018)
Druh dokumentu: article
ISSN: 2383-4625
DOI: 10.15441/ceem.16.185
Popis: Objective Endotracheal intubation is extremely difficult to perform in patients wearing a cervical collar for a head and neck injury. Therefore, we analyzed actual measurements using the look externally, evaluate 3-3-2, Mallampati score, obstruction, and neck mobility (LEMON) criteria before and after cervical collar application to investigate the causes of a difficult airway. Methods This simulation study was performed in 76 healthy volunteers. We measured the mouth opening, modified Mallampati classification, and neck extension before and after cervical collar application. Results The mean inter-incisor distance significantly decreased from 4.3 to 2.6 cm (P
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