Tracheal intubation and cervical spine excursion: direct laryngoscopy vs. intubating laryngeal mask

Citation
B. Waltl et al., Tracheal intubation and cervical spine excursion: direct laryngoscopy vs. intubating laryngeal mask, ANAESTHESIA, 56(3), 2001, pp. 221-226
Citations number
19
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Journal title
ANAESTHESIA
ISSN journal
0003-2409 → ACNP
Volume
56
Issue
3
Year of publication
2001
Pages
221 - 226
Database
ISI
SICI code
0003-2409(200103)56:3<221:TIACSE>2.0.ZU;2-D
Abstract
Until recently, the most appropriate technique of intubating a patient with a cervical spine injury has been the subject of debate. Tracheal intubatio n by means of the intubating laryngeal mask (Fastrach (TM)), a modified con ventional laryngeal mask airway, seems to require less neck manipulation. T he aim of this study was to compare the excursion of the upper cervical spi ne during tracheal intubation using direct laryngoscopy with that during in tubation via the laryngeal mask (Fastrach (TM)), by examination of lateral cervical spine radiographs in healthy young patients. The intubating laryng eal mask (Fastrach (TM)) caused less extension (at C1-2 and C2-3) than intu bation by direct laryngoscopy. Direct laryngoscopy is still the fastest met hod to secure an airway provided no intubating difficulties are present. Ho wever, in trauma patients requiring rapid sequence induction and in whom ce rvical spine movement is limited or undesirable, the intubating laryngeal m ask (Fastrach (TM)) is a safe and fast method by which to secure the airway .