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Management of difficult airway in penetrating cervical spine injury.
MedLine Citation:
PMID:  20532076     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Management of airway in trauma victim with penetrating cervical/thoracic spine injury has always been a challenge to the anaesthesiologist. Stabilisation of spine during airway manipulation, to prevent any further neural damage, is of obvious concern to the anaesthesiologist. Most anaesthesiologists are not exposed to direct laryngoscopy and intubation in lateral position during their training period. Tracheal intubation in the lateral position may be unavoidable in some circumstances. Difficult airway in an uncooperative patient compounds the problem to secure airway in lateral position. We present a 46-year-old alcoholic, hypertensive, morbidly obese person who suffered a sharp instrument (screwdriver) spinal injury with anticipated difficult intubation; the case was managed successfully.
Authors:
Mukesh Kumar Prasad; Ajay Kumar Sinha; Umesh Kumar Bhadani; Balbir Chabra; Kanchan Rani; Bhavana Srivastava
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of anaesthesia     Volume:  54     ISSN:  0976-2817     ISO Abbreviation:  Indian J Anaesth     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-06-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0013243     Medline TA:  Indian J Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  59-61     Citation Subset:  -    
Affiliation:
Department of Anaesthesiology, U.F.H.T. Medical College, Rampur Road, Haldwani, Nainital, Uttrakhand, India.
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