Techniques d'intubation lorsque tete et cou ne peuvent etre mobilises. [Techniques for intubation when head and neck cannot be moved]

Détails

ID Serval
serval:BIB_50A86EC5E6B6
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Techniques d'intubation lorsque tete et cou ne peuvent etre mobilises. [Techniques for intubation when head and neck cannot be moved]
Périodique
Agressologie
Auteur(s)
Crinquette  V., Ravussin  P., Moeschler  O.
ISSN
0002-1148
Statut éditorial
Publié
Date de publication
1994
Volume
34 Spec No 1
Pages
21-5
Notes
English Abstract
Journal Article
Résumé
The inability to extend the head may be due to a blocked cervical spine or to any cervical instability imposing to maintain the head straight. Exposure of the glottis during intubation may be difficult and can be ameliorated by a stable general anesthesia, some pressure on the larynx and by charging the epiglottis. When mouth aperture is superior to 40 mm, a lighted stylet, a laryngoscope with a prism, a fiberoptic laryngoscope (Bullard) or the PCV laryngoscope represent a possible alternative to the Mac Intosh laryngoscope. If mouth aperture is superior to 20 mm but inferior to 40 mm, a ENT or PCV laryngoscope or a fiberoptic intubation are recommended. One should remember that the intubation is easier if the diameter of the ET tube is small. If the mouth aperture is inferior to 20 mm, nasal intubation (if intubation is indicated) is mandatory using fiberoptic intubation or a retrograde technique or even nasal blind intubation. In case of failure of intubation in a hypoxic patient, the anterior percutaneous route should always be kept in mind and transtracheal ventilation should be ready in case of failure, or even tracheotomy.
Mots-clé
Atlanto-Occipital Joint Cervical Vertebrae Decision Trees Humans Intubation, Intratracheal/*methods Joint Instability/complications Laryngoscopes Spinal Diseases/complications
Pubmed
Création de la notice
17/01/2008 17:19
Dernière modification de la notice
03/03/2018 17:09
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