A methodology to evaluate motion of the unstable spine during intubation techniques

William F. Donaldson, Jeffrey D. Towers, Allan Doctor, Asher Brand, Valerie P. Donaldson

Research output: Contribution to journalArticlepeer-review

60 Scopus citations

Abstract

Airway management in patients with an unstable cervical spine remains a challenge. A video fluoroscopic technique that transfers the image to a floppy disk for direct measurement is described. This technique enabled standardized, direct measurement of the cervical spine during airway maneuvers before and after a C 5 -6 posterior instability was surgically created in five cadaveric specimens. Unsupported direct oral techniques often can cause more motion than do indirect nasal techniques, and chin lift/jaw thrust and cricoid pressure can cause as much motion as do some of the intubation techniques.

Original languageEnglish
Pages (from-to)2020-2023
Number of pages4
JournalSpine
Volume18
Issue number14
StatePublished - Oct 1993

Keywords

  • Airway management
  • Nasotracheal intubation
  • Orotracheal intubation
  • Unstable cervical spine

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