Document Detail


Oral intubation in the multiply injured patient: the risk of exacerbating spinal cord damage.
MedLine Citation:
PMID:  2331094     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of oral intubation during the resuscitation of seriously injured patients has been discouraged because of the fear that this technique may lead to cervical cord damage. We report a retrospective study of the 18-month experience of an emergency department in which oral intubation was the usual method of airway control for victims of blunt trauma. There were 237 injured patients intubated in the ED; 21 patients (8.9%) had cervical cord or bone injury. There were no patients in whom a neurologic loss followed an airway maneuver. Oral intubation was the definitive airway maneuver in 213 patients. There was no statistically significant difference in the type of definitive airway maneuver used (eg, oral intubation, nasal intubation, or cricothyrotomy-tracheotomy) between patients with cervical injuries and patients without such injuries. The risk of spinal cord injury secondary to oral intubation in the seriously injured patient was low in our population. Selection of the method for definitive airway control should be based primarily on the operator's skills and experience rather than the fear of inflicting cervical cord damage.
Authors:
K J Rhee; W Green; J W Holcroft; J A Mangili
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  19     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1990 May 
Date Detail:
Created Date:  1990-05-31     Completed Date:  1990-05-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  511-4     Citation Subset:  AIM; IM    
Affiliation:
Division of Emergency Medicine, University of California, Davis, Sacramento.
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MeSH Terms
Descriptor/Qualifier:
Adult
Emergencies
Female
Glasgow Coma Scale
Humans
Intubation / adverse effects*,  methods
Male
Medical Records
Multiple Trauma / mortality,  therapy*
Nerve Block
Risk Factors
Spinal Cord Injuries / etiology*
Comments/Corrections
Comment In:
Ann Emerg Med. 1990 May;19(5):603-4   [PMID:  2331112 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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