Unanticipated difficult endotracheal intubations in patients with cervical spine instrumentation.
نویسندگان
چکیده
We present two cases of unanticipated difficult airway in patients requiring reoperation after cervical spine instrumentation. In both cases, the upper airway examination was normal, and fiberoptic-guided intubation proceeded with the patient sedated and breathing spontaneously. Cord visualization was difficult, but the scope was eventually advanced into the trachea and the endotracheal tube placed safely. Later review of radiographs showed the previously unrecognized protrusion of cervical hardware into the meso- and hypopharynx. We recommend that anesthesiologists review recent radiographic studies for potential airway compromise before approaching the airway of patients presenting for revision of cervical instrumentation.
منابع مشابه
WuScope versus conventional laryngoscope in cervical spine immobilization.
To the Editor:—We greatly appreciate and commend the recent study by Smith et al. comparing intubation difficulties in cervical spine immobilization with the use of the conventional laryngoscope and the WuScope (Achi Corp., Fremont, CA, and Asahi Optical Co.-Pentax, Tokyo, Japan). As the inventors of this relatively new device, we feel obligated to respond to issues raised by Smith et al. and t...
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ورودعنوان ژورنال:
- Anesthesia and analgesia
دوره 102 3 شماره
صفحات -
تاریخ انتشار 2006