Introduction: Airway management with unstable cervical spine is a major challenge to anesthetist. Conventional direct
laryngoscopy causes substantial movement of cervical spine and can cause neurological decit. Newer devices like
Intubating Laryngeal Mask Airway(ILMA) and Trachlight avoid cervical spine movement. To compare rate of successful tracheal Aim:
intubation with Intubating Laryngeal Mask Airway™ with Trachlight® in anaesthetised and paralysed adults with manual in line stabilization
Method and Materials: 50 patients were included in the study and allocated in two groups. In the ILMA group ,patients were ventilated and then
intubated through the ILma. IN the Trachlight group, patients were intubated using trachlight. Success rate , time taken for intubation and post
operative sore throat and hoarseness of voice were compared between the two groups. Results: In the ILMA group,21 patients could be
adequately ventilated in the rst attempt and 4 in second attempt. 12 patients could be successfully intubated. 9 patients could be intubated in the
rst attempt and 3 patients in second attempt. In the Trachlight , 24 patients could be intubated in the rst attempt and one patient in second
attempt. Intubation time was 14.08 ± 2.23 seconds in the ILMA group whereas in Trachlight group it was 26.48 ± 9.13 seconds(p value of
<0.0001) In healthy anaesthetized,paralysed adults with manual in line stabiliz Conclusion: ation Trachlight assistance at tracheal intubation
provides high rst attempt success.ILMA is an effective ventilation device, but an unacceptably high failure rate at blind tracheal intubation.
Unstable Cervical Spine Fracture in a Surfer Presenting as Concussion With Associated Low Grade Neck Pain: A Case Report
