Manual in-line stabilization increases the intubation failure rate

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Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation.

BACKGROUND Manual in-line stabilization (MILS) is recommended during direct laryngoscopy and intubation in patients with known or suspected cervical spine instability. Because MILS impairs glottic visualization, the authors hypothesized that anesthesiologists would apply greater pressure during intubations with MILS than without. METHODS Nine anesthetized and pharmacologically paralyzed patie...

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Laryngoscopy force, visualization, and intubation failure in acute trauma: should we modify the practice of manual in-line stabilization?

CERVICAL spine stabilization during transport and general care reduced secondary neurologic injury from 10– 25% to 1–3%. This experience led airway managers to adopt manual in-line stabilization (MILS) during direct laryngoscopy (DL). Although MILS is intuitively appealing, there is, as Santoni et al. state in this issue of ANESTHESIOLOGY, “no objective evidence of benefit.” Substantial ethical...

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Ease of placement of the laryngeal mask during manual in-line neck stabilization.

We studied 20 patients, in a randomized, cross-over study, to determine if manual in-line stabilization of the head and neck altered the ease of insertion of the laryngeal mask and its correct positioning. After induction of anaesthesia and neuromuscular block, the laryngeal mask was inserted and adequacy of ventilation assessed while the patient's head and neck were placed in the Magill and ma...

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ژورنال

عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie

سال: 2006

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03016947