Awake nasal intubation using a videolaryngoscope: A safe airway management strategy in the presence of restricted cervical spine mobility

Airway ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. 125
Author(s):  
Eleftheria Saoulidou ◽  
Orestis Argyriou ◽  
Amalia Douma ◽  
Antonia Dimakopoulou
Keyword(s):  
Cervical Spine ◽  
Airway Management ◽  
Management Strategy ◽  
Nasal Intubation ◽  
Spine Mobility

scholarly journals Airway Management with Cervical Spine Immobilisation: A Comparison between the Macintosh Laryngoscope, Truview Evo2, and Totaltrack VLM Used by Novices—A Manikin Study

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Dawid Aleksandrowicz ◽  
Tomasz Gaszyński
Keyword(s):  
Cervical Spine ◽  
Airway Management ◽  
Macintosh Laryngoscope ◽  
Spine Injury ◽  
Trauma Patients ◽  
Laryngoscopic View ◽  
Ventilation Time ◽  
Spine Mobility ◽  
Airway Devices ◽  
Time Required

Airway management in patients with suspected cervical spine injury plays an important role in the pathway of care of trauma patients. The aim of this study was to evaluate three different airway devices during intubation of a patient with reduced cervical spine mobility. Forty students of the third year of emergency medicine studies participated in the study (F=26,M=14). The time required to obtain a view of the entry to the larynx and successful ventilation time were recorded. Cormack-Lehane laryngoscopic view and damage to the incisors were also assessed. All three airway devices were used by each student (a novice) and they were randomly chosen. The mean time required to obtain the entry-to-the-larynx view was the shortest for the Macintosh laryngoscope 13.4 s (±2.14). Truview Evo2 had the shortest successful ventilation time 35.7 s (±9.27). The best view of the entry to the larynx was obtained by the Totaltrack VLM device. The Truview Evo2 and Totaltrack VLM may be an alternative to the classic Macintosh laryngoscope for intubation of trauma patients with suspected injury to the cervical spine. The use of new devices enables achieving better laryngoscopic view as well as minimising incisor damage during intubation.

Airway management: Uncleared cervical spine injury

2005 ◽  
Vol 2 (2) ◽  
pp. 99-101 ◽  
Author(s):  
TVSP Murthy ◽  
Parmeet Bhatia ◽  
RL Gogna ◽  
T Prabhakar
Keyword(s):  
Cervical Spine ◽  
Airway Management ◽  
Cervical Spine Injury ◽  
Spine Injury

scholarly journals Use of Awake Flexible Fiberoptic Bronchoscopic Nasal Intubation in Secure Airway Management for Reconstructive Surgery in a Pediatric Patient with Burn Contracture of the Neck

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Tolga Totoz ◽  
Kerem Erkalp ◽  
Sirin Taskin ◽  
Ummahan Dalkilinc ◽  
Aysin Selcan
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Pediatric Patient ◽  
Reconstructive Surgery ◽  
Management Technique ◽  
Anesthesia Induction ◽  
Nasal Intubation ◽  
Stepwise Approach ◽  
Patient Cooperation ◽  
Trial Phase

Although the use of awake flexible fiberoptic bronchoscopic (FFB) intubation is a well-recognized airway management technique in patients with difficult airway, its use in smaller children with burn contractures or in an uncooperative older child may be challenging. Herein, we report successful management of difficult airway in a 7-year-old boy with burn contracture of the neck, by application of FFB nasal intubation in a stepwise approach, first during an initial preoperative trial phase to increase patient cooperation and then during anesthesia induction for the reconstructive surgery planned for burn scars and contractures. Our findings emphasize the importance of a preplanned algorithm for airway control in secure airway management and feasibility of awake FFB intubation in a pediatric patient with burn contracture of the neck during anesthesia induction for reconstructive surgery. Application of FFB intubation based on a stepwise approach including a trial phase prior to operation day seemed to increase the chance of a successful intubation in our patient in terms of technical expertise and increased patient cooperation and tolerance by enabling familiarity with the procedure.

Cervical Spine Movement During Airway Management

1992 ◽  
Vol 36 (4) ◽  
pp. 226
Author(s):  
M. HAUSWALD ◽  
D. P. SKLAR ◽  
D. TANDBERG ◽  
J. GARCIA
Keyword(s):  
Cervical Spine ◽  
Airway Management ◽  
Spine Movement
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