C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology

Tracheal intubation is challenging in patients with severe cervical spine pathology. In such cases, awake fiberoptic intubation is the gold standard and safest option for tracheal intubation. However, this technique requires the patient's understanding and cooperation, and therefore, may be con...

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Autores principales: Koyama, Yukihide, Tsuzaki, Koichi, Ohmori, Kazuo, Ono, Koichiro, Suzuki, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458007/
https://www.ncbi.nlm.nih.gov/pubmed/32934636
http://dx.doi.org/10.4103/sja.SJA_782_19
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author Koyama, Yukihide
Tsuzaki, Koichi
Ohmori, Kazuo
Ono, Koichiro
Suzuki, Takeshi
author_facet Koyama, Yukihide
Tsuzaki, Koichi
Ohmori, Kazuo
Ono, Koichiro
Suzuki, Takeshi
author_sort Koyama, Yukihide
collection PubMed
description Tracheal intubation is challenging in patients with severe cervical spine pathology. In such cases, awake fiberoptic intubation is the gold standard and safest option for tracheal intubation. However, this technique requires the patient's understanding and cooperation, and therefore, may be contraindicated in patients with refusal or poor tolerance. Herein, we report successful orotracheal intubation in a patient with limited mouth opening and severe cervical spine rigidity under general anesthesia using an extraglottic airway device and a gum-elastic bougie under C-arm fluoroscopic guidance.
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spelling pubmed-74580072020-09-14 C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology Koyama, Yukihide Tsuzaki, Koichi Ohmori, Kazuo Ono, Koichiro Suzuki, Takeshi Saudi J Anaesth Case Report Tracheal intubation is challenging in patients with severe cervical spine pathology. In such cases, awake fiberoptic intubation is the gold standard and safest option for tracheal intubation. However, this technique requires the patient's understanding and cooperation, and therefore, may be contraindicated in patients with refusal or poor tolerance. Herein, we report successful orotracheal intubation in a patient with limited mouth opening and severe cervical spine rigidity under general anesthesia using an extraglottic airway device and a gum-elastic bougie under C-arm fluoroscopic guidance. Wolters Kluwer - Medknow 2020 2020-05-30 /pmc/articles/PMC7458007/ /pubmed/32934636 http://dx.doi.org/10.4103/sja.SJA_782_19 Text en Copyright: © 2020 Saudi Journal of Anesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Koyama, Yukihide
Tsuzaki, Koichi
Ohmori, Kazuo
Ono, Koichiro
Suzuki, Takeshi
C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology
title C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology
title_full C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology
title_fullStr C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology
title_full_unstemmed C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology
title_short C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology
title_sort c-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458007/
https://www.ncbi.nlm.nih.gov/pubmed/32934636
http://dx.doi.org/10.4103/sja.SJA_782_19
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