Intubation trachéale des traumatisés du rachis cervical à l'aide d'un laryngoscope à fibres optiques

Langeron, Olivier; Riou, Bruno; Lambert, Y.; Viars, P.

doi:10.1016/s0750-7658(05)80382-x

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Fibreoptic laryngoscope technique enables rapid and easy orotracheal intubation in trauma patients with an immobilised cervical spine, but training is necessary. [17]…”

Section: Discussionmentioning

confidence: 99%

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Effect of rigid cervical collar on tracheal intubation using Airtraq^®

et al. 2014

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Background and Aims:Cervical spine immobilisation with rigid cervical collar imposes difficulty in intubation. Removal of the anterior part of the collar may jeopardize the safety of the cervical spine. The effect of restricted mouth opening and cervical spine immobilisation that result from the application of rigid cervical collar on intubation using Airtraq® was evaluated.Methods:Seventy healthy adults with normal airways included in the study were intubated Using Airtraq® with (group C) and without rigid cervical collar (group NC). The ease of insertion of Airtraq® into the oral cavity, intubation time, intubation difficulty score (IDS) were compared using Wilcoxon sign ranked test and McNemar test, using SPSS version 13.Results:Intubation using Airtraq® was successful in the presence of the cervical collar in 96% which was comparable to group without collar (P = 0.24). The restriction of mouth opening resulted in mild difficulty in insertion of Airtraq®. The median Likert scale for insertion was - 1 in the group C and + 1 in group NC (P < 0.001). The intubation time was longer in group C (30 ± 14.3 s vs. 26.9 ± 14.8 s) compared to group NC. The need for adjusting manoeuvres was 18.5% in group C versus 6.2% in group NC (P = 0.003) and bougie was required in 12 (18.5%) and 4 (6.2%) patients in group C and NC, respectively, to facilitate intubation (P = 0.02). The modified IDS score was higher in group C but there was no difference in the number of patients with IDS < 2.Conclusion:Tracheal intubation using Airtraq® in the presence of rigid cervical collar has equivalent success rate, acceptable difficulty in insertion and mild increase in IDS.

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“…Fibreoptic laryngoscope technique enables rapid and easy orotracheal intubation in trauma patients with an immobilised cervical spine, but training is necessary. [17]…”

Section: Discussionmentioning

confidence: 99%

“…Many of them have been efficient in the presence of cervical immobilisation with rigid neck collar in simulated conditions. [151617182124] They also produce less cervical movement than intubation using Macintosh laryngoscope. [14] The procurement cost of most of these equipments is high and may be unaffordable to most institutions in India.…”

Section: Discussionmentioning

confidence: 99%

Effect of rigid cervical collar on tracheal intubation using Airtraq^®

et al. 2014

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“…Besonders empfohlen wird dieses Laryngoskop bei Kehlkopfprozessen, da die Sicht auf den Larynx verbessert sein soll (2,8,11,24,32). Auch gibt es einige Berichte zur Intubation bei HWS-Frakturen, da eine Reklination des Kopfes nicht erforderlich ist (1,2,19,32). Zuletzt wird der Einsatz auch bei eingeschränkter Mundöffnung empfohlen (26), denn die Spateldicke liegt noch unter der Tubusdicke, so daß die Limitierung des Verfahrens darin besteht, ob der Tubus die Mundhöhle passieren kann.…”

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Laryngoskopmodifikationen für die schwierige Intubation - Varianten nachBullard, BummundMcCoy

Henn-Beilharz¹

1995

Anästhesiol Intensivmed Notfallmed Schmerzther

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Bullard laryngoscopy by naÏve operators in the cervical spine immobilized patient

Wackett

Anderson

Thode

2005

The Journal of Emergency Medicine

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Intubation trachéale des traumatisés du rachis cervical à l'aide d'un laryngoscope à fibres optiques

Cited by 4 publications

References 6 publications

Effect of rigid cervical collar on tracheal intubation using Airtraq^®

Effect of rigid cervical collar on tracheal intubation using Airtraq^®

Laryngoskopmodifikationen für die schwierige Intubation - Varianten nachBullard, BummundMcCoy

Bullard laryngoscopy by naÏve operators in the cervical spine immobilized patient

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Intubation trachéale des traumatisés du rachis cervical à l'aide d'un laryngoscope à fibres optiques

Cited by 4 publications

References 6 publications

Effect of rigid cervical collar on tracheal intubation using Airtraq®

Effect of rigid cervical collar on tracheal intubation using Airtraq®

Laryngoskopmodifikationen für die schwierige Intubation - Varianten nachBullard, BummundMcCoy

Bullard laryngoscopy by naÏve operators in the cervical spine immobilized patient

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Product

Resources

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Effect of rigid cervical collar on tracheal intubation using Airtraq^®

Effect of rigid cervical collar on tracheal intubation using Airtraq^®