Cervical spine injury in the very elderly

2000 ◽  
Vol 7 (5) ◽  
pp. 287-291 ◽  
Author(s):  
B. Ngo ◽  
J. R. Hoffman ◽  
W. R. Mower
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Very Elderly

Airway management: Uncleared cervical spine injury

2005 ◽  
Vol 2 (2) ◽  
pp. 99-101 ◽  
Author(s):  
TVSP Murthy ◽  
Parmeet Bhatia ◽  
RL Gogna ◽  
T Prabhakar
Keyword(s):  
Cervical Spine ◽  
Airway Management ◽  
Cervical Spine Injury ◽  
Spine Injury

Stabilization for sub axial cervical spine injury

2004 ◽  
Vol 1 (1) ◽  
pp. 43-47
Author(s):  
PK Sahoo ◽  
Prakash Singh ◽  
HS Bhatoe
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury

scholarly journals Treatment of the Upper Cervical Spine Injury (experience of eight cases)

1981 ◽  
Vol 30 (1) ◽  
pp. 41-47
Author(s):  
M. Yamanaka ◽  
G. Awaya ◽  
S. Takata ◽  
N. Nishijima ◽  
S. Shimamura
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Upper Cervical Spine ◽  
Upper Cervical ◽  
Upper Cervical Spine Injury

Ischemic stroke after cervical spine injury: analysis of 11,005 patients using the Japanese Diagnosis Procedure Combination database

2014 ◽  
Vol 14 (10) ◽  
pp. 2275-2280 ◽  
Author(s):  
Hirotaka Chikuda ◽  
Junichi Ohya ◽  
Hiromasa Horiguchi ◽  
Katsushi Takeshita ◽  
Kiyohide Fushimi ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Diagnosis Procedure Combination ◽  
Injury Analysis

Comparison of the Bullard and Macintosh Laryngoscopes for Endotracheal Intubation of Patients with a Potential Cervical Spine Injury 

1997 ◽  
Vol 87 (6) ◽  
pp. 1335-1342 ◽  
Author(s):  
Andrew D. J. Watts ◽  
Adrian W. Gelb ◽  
David B. Bach ◽  
David M. Pelz
Keyword(s):  
Cervical Spine ◽  
General Anesthesia ◽  
Endotracheal Intubation ◽  
Cervical Spine Injury ◽  
Cricoid Pressure ◽  
Macintosh Laryngoscope ◽  
Spine Injury ◽  
Neck Extension ◽  
Bullard Laryngoscope ◽  
Spine Movement

Background In the emergency trauma situation, in-line stabilization (ILS) of the cervical spine is used to reduce head and neck extension during laryngoscopy. The Bullard laryngoscope may result in less cervical spine movement than the Macintosh laryngoscope. The aim of this study was to compare cervical spine extension (measured radiographically) and time to intubation with the Bullard and Macintosh laryngoscopes during a simulated emergency with cervical spine precautions taken. Methods Twenty-nine patients requiring general anesthesia and endotracheal intubation were studied. Patients were placed on a rigid board and anesthesia was induced. Laryngoscopy was performed on four occasions: with the Bullard and Macintosh laryngoscopes both with and without manual ILS. Cricoid pressure was applied with ILS. To determine cervical spine extension, radiographs were exposed before and during laryngoscopy. Times to intubation and grade view of the larynx were also compared. Results Cervical spine extension (occiput-C5) was greatest with the Macintosh laryngoscope (25.9 degrees +/- 2.8 degrees). Extension was reduced when using the Macintosh laryngoscope with ILS (12.9 +/- 2.1 degrees) and the Bullard laryngoscope without stabilization (12.6 +/- 1.8 degrees; P < 0.05). Times to intubation were similar for the Macintosh laryngoscope with ILS (20.3 +/- 12.8 s) and for the Bullard without ILS (25.6 +/- 10.4 s). Manual ILS with the Bullard laryngoscope results in further reduction in cervical spine extension (5.6 +/- 1.5 degrees) but prolongs time to intubation (40.3 +/- 19.5 s; P < 0.05). Conclusions Cervical spine extension and time to intubation are similar for the Macintosh laryngoscope with ILS and the Bullard laryngoscope without ILS. However, time to intubation is significantly prolonged when the Bullard laryngoscope is used in a simulated emergency with cervical spine precautions taken. This suggests that the Bullard laryngoscope may be a useful adjunct to intubation of patients with potential cervical spine injury when time to intubation is not critical.

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