الفهرس | Only 14 pages are availabe for public view |
Abstract Airway management in patients with cervical spine injury is a difficult and challenging task. Patients with possible cervical spine injury may require urgent or emergent airway intervention for airway protection, hypoxia, hypoventilation, or hypotension that is a direct consequence of spinal cord injury or instead related to head or other bodily injury. Cervical spine injury is often occult, and secondary injury to the spinal cord must be avoided. Cervical vertebrae, being highly mobile for flexion, extension and rotation in vertebral column, are the most vulnerable ones for fracture, subluxation and dislocation. Atlantoaxial or atlantooccipital dislocation may even be fatal.attention to head positioning and stabilization during the initial evaluation and airway management is critical in the care of these patients in order to minimize the risk of secondary neurologic insult. In order to provide safe and efficient care in these patients, anesthesiologists must identify high-risk patients, be comfortable with available methods of airway adjuncts, and know how airway maneuvers, neck stabilization, and positioning affect the cervical spine. Overall, there is no one perfect way to manage the airway in patients with potential cervical spine injury. anesthesiologists must use their judgment and weigh various risks like spinal cord injury, aspiration, and hypoxia in each patient and have the most experienced anesthesiologist available to safely secure the airway. An airway management and anesthetic plan must be designed based on the patient, surgeon, situation urgency, and individual anesthesiologist level of expertise. |