A METHODOLOGY TO EVALUATE MOTION OF THE UNSTABLE SPINE DURING INTUBATION TECHNIQUES

被引:51
作者
DONALDSON, WF [1 ]
TOWERS, JD [1 ]
DOCTOR, A [1 ]
BRAND, A [1 ]
DONALDSON, VP [1 ]
机构
[1] UNIV PITTSBURGH,MED CTR,PITTSBURGH,PA 15260
关键词
UNSTABLE CERVICAL SPINE; OROTRACHEAL INTUBATION; NASOTRACHEAL INTUBATION; AIRWAY MANAGEMENT;
D O I
10.1097/00007632-199310001-00015
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Airway management in patients with an unstable cervical spine remains a challenge. A video fluoroscopic technique that transfers the image to a floppy disk for direct measurement is described. This technique enabled standardized, direct measurement of the cervical spine during airway maneuvers before and after a C5-6 posterior instability was surgically created in five cadaveric specimens. Unsupported direct oral techniques often can cause more motion than do indirect nasal techniques, and chin lift/jaw thrust and cricoid pressure can cause as much motion as do some of the intubation techniques.
引用
收藏
页码:2020 / 2023
页数:4
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