Evaluation of the GlideScope (R) for tracheal intubation in patients with cervical spine immobilisation by a semi-rigid collar

Détails

ID Serval
serval:BIB_37517F7C0BD0
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Evaluation of the GlideScope (R) for tracheal intubation in patients with cervical spine immobilisation by a semi-rigid collar
Périodique
Anaesthesia
Auteur(s)
Bathory I., Frascarolo P., Kern C., Schoettker P.
ISSN
0003-2409
Statut éditorial
Publié
Date de publication
2009
Peer-reviewed
Oui
Volume
64
Numéro
12
Pages
1337-1341
Langue
anglais
Résumé
Application of cervical collars may reduce cervical spine movements but render tracheal intubation with a standard laryngoscope difficult if not impossible. We hypothesised that despite the presence of a Philadelphia Patriot (R) cervical collar and with the patient's head taped to the trolley, tracheal intubation would be possible in 50 adult patients using the GlideScope (R) and its dedicated stylet. Laryngoscopy was attempted using a Macintosh laryngoscope with a size 4 blade, and the modified Cormack-Lehane grade was scored. Subsequently, laryngoscopy with the GlideScope was graded and followed by tracheal intubation. All patients' tracheas were successfully intubated with the GlideScope. The median (IQR) intubation time was 50 s (43-61 s). The modified Cormack-Lehane grade was 3 or 4 at direct laryngoscopy. It was significantly reduced with the GlideScope (p < 0.0001), reaching grade 2a in most patients. Tracheal intubation in patients wearing a semi-rigid collar and having their head taped to the trolley is possible with the help of the GlideScope.
Mots-clé
Laryngeal Mask Airway, Simulated Difficult Airway, In-Line Stabilization, Gum Elastic Bougie, Macintosh Laryngoscope, Endotracheal Intubation, Videolaryngoscope Glidescope(R), Orotracheal Intubation, Blind Intubation, Management
Web of science
Open Access
Oui
Création de la notice
04/12/2009 11:15
Dernière modification de la notice
08/05/2019 17:04
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