Airway management in patients with cervical spine trauma and neurological symptoms. Case reports

详细信息    查看全文

• 作者：Alejandro Bilbao Ares^a ; ^{abilbaoa@navarra.es} ; Miguel Casta&ntilde ; eda Pascual^a ; Beatriz Merino Sierra^b ; Juan Pablo Jimeno Garcí ; a^a ; Marta Patricia Martí ; n Vizcaí ; no^a ; Miguel Salvador Bravo^a
• 关键词：Airway Management ; Spine ; Wounds and Injuries ; Intubation ; Bronchoscopy
• 刊名：Colombian Journal of Anesthesiology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：45
• 期：supp_S1
• 页码：45-49
• 全文大小：1280 K
• 卷排序：45

文摘

Patients with traumatic injuries of the cervical spine who undergo a surgical intervention are a great challenge to the anesthesiologist. The airway management inherently involves movements of the cervical spine that may aggravate pre-existing injury. Currently there is not a consensus for the technique of intubation of these patients.We present three patients with traumatic injuries associated neurological symptoms and cervical spine. All intubations were assisted with fiber bronchoscope, without removing the cervical collar and patients remained awake. All patients were examined again after intubation with no evidence of worsening of their neurological symptoms. We can conclude that the fiberoptic assisted intubation has several advantages in the care of these patients.