EMERGENCY AIRWAY MANAGEMENT IN PATIENTS WITH CERVICAL-SPINE INJURIES

被引:74
作者
CRISWELL, JC
PARR, MJA
NOLAN, JP
机构
[1] MARYLAND INST EMERGENCY MED SERV SYST,CTR SHOCK TRAUMA,DEPT ANESTHESIA,BALTIMORE,MD 21201
[2] ROYAL UNITED HOSP,DEPT ANAESTHESIA,BATH BA1 3NG,AVON,ENGLAND
关键词
INTUBATION; TRACHEAL; TECHNIQUE; COMPLICATIONS; TRAUMA; CERVICAL SPINE INJURY;
D O I
10.1111/j.1365-2044.1994.tb04271.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
A retrospective study of admissions to a Level 1 Trauma Centre, revealed 393 patients with traumatic cervical spine injuries. All 36 patients intubated urgently and 37 and 68 patients intubated between 30 min and 24 h admission, were intubated orally, following a rapid sequence induction with the application of cricoid pressure and manual in-line stabilisation of the head and neck. There were no neurological sequelae in these 73 patients (95% confidence interval 0-4%). This technique for airway management is described in detail. It is a safe, familiar, and effective method for securing the airway in patients with cervical spine injury.
引用
收藏
页码:900 / 903
页数:4
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