Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation

Anesthesiology

Volumn 110, Issue 1, 2009, Pages 24-31

  Santoni, Brandon G ^a   Hindman, Bradley J ^b,c   Puttlitz, Christian M ^a   Weeks, Julie B ^b   Johnson, Nathaniel ^a   Maktabi, Mazen A ^b   Todd, Michael M ^b  

^a Veterinary Dentistry and Oral Surgery   (United States)

^b UNIVERSITY OF IOWA   (United States)

^c UNIVERSITY OF IOWA HOSPITALS AND CLINICS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DESFLURANE; INHALATION ANESTHETIC AGENT; ISOFLURANE; LIDOCAINE; MIDAZOLAM; MIVACURIUM; NEUROMUSCULAR BLOCKING AGENT; ROCURONIUM; SEVOFLURANE; VECURONIUM;

ADULT; AIRWAY; ANESTHESIST; ANESTHETIC EQUIPMENT; ARTICLE; ARTIFICIAL VENTILATION; AUDIOVISUAL EQUIPMENT; BODY MASS; CERVICAL SPINE; CERVICAL SPINE INJURY; CLINICAL ARTICLE; CLINICAL PROTOCOL; ENDOTRACHEAL INTUBATION; FACE MASK; FEMALE; GENERAL ANESTHESIA; GLOTTIS; HUMAN; LARYNGOSCOPE; LARYNGOSCOPY; MALE; MANUAL IN LINE STABILIZATION; OUTCOME ASSESSMENT; PATIENT POSITIONING; PREMEDICATION; PRESSURE; PRIORITY JOURNAL; SENSOR; SPINE INSTABILITY; SPINE STABILIZATION; COMPARATIVE STUDY; FOLLOW UP; INSTRUMENTATION; METHODOLOGY; MIDDLE AGED; PRESSURE TRANSDUCER;

ADULT; FEMALE; FOLLOW-UP STUDIES; HUMANS; INTUBATION, INTRATRACHEAL; LARYNGOSCOPES; LARYNGOSCOPY; MALE; MIDDLE AGED; PRESSURE; TRANSDUCERS, PRESSURE;

EID: 58749108338     PISSN: 00033022     EISSN: 15281175     Source Type: Journal    
DOI: 10.1097/ALN.0b013e318190b556     Document Type: Article

References (24)

1. American College of Surgeons, Committee on Trauma: Advanced Trauma Life Support Student Course Manual, 7th edition. Chicago, American College of Surgeons, 2004: pp 46
2. Nolan JP, Wilson ME: Orotracheal intubation in patients with potential cervical spine injuries. An indication for the gum elastic bougie. Anaesthesia 1993; 48:630-3
3. Wood PR, Dresner M, Smith JH, Kumar CM, Lawler PG: Direct laryngoscopy and cervical spine stabilisation (letter). Anaesthesia 1994; 49:77-8
4. Heath KJ: The effect on laryngoscopy of different cervical spine immobilisation techniques. Anaesthesia 1994; 49:843-5
5. Watts AD, Gelb AW, Bach DB, Pelz DM: Comparison of the Bullard and Macintosh laryngoscopes for endotracheal intubation of patients with a potential cervical spine injury. ANESTHESIOLOGY 1997; 87:1335-42
6. Weiss M, Hartmann K, Fischer JE, Gerber AC: Use of angulated videointubation laryngoscope in children undergoing manual in-line neck stabilization. Br J Anaesth 2001; 87:453-8
7. Hastings RH, Hon ED, Nghiem C, Wahrenbrock EA: Force, torque, and stress relaxation with direct laryngoscopy. Anesth Analg 1996; 82:456-61
8. Samsoon GL, Young JR: Difficult tracheal intubation: a retrospective study. Anaesthesia 1987; 42:487-90
9. Cormack RS, Lehane J: Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39:1105-11
10. Criswell JC, Parr MJ, Nolan JP: Emergency airway management in patients with cervical spine injuries. Anaesthesia 1994; 49:900-3
11. Lennarson PJ, Smith D, Todd MM, Carras D, Sawin PD, Brayton J, Sato Y, Traynelis VC: Segmental cervical spine motion during orotracheal intubation of the intact and injured spine with and without external stabilization. J Neurosurg 2000; 92(2 Suppl):201-6
12. Ollerton JE, Parr MJ, Harrison K, Hanrahan B, Sugrue M: Potential cervical spine injury and difficulty airway management for emergency intubation of trauma adults in the emergency department-a systematic review. Emerg Med J 2006; 23:3-11
13. DeMets DL, Lan KK: Interim analysis: the alpha spending function approach. Stat Med 1994; 13:1341-52
14. Bucx MJ, Scheck PA, van Geel RT, den Ouden AH, Niesing R: Measurement of forces during laryngoscopy. Anaesthesia 1992; 47:348-51
15. Bucx MJ, Van Geel RT, Scheck PA, Stijnen T, Erdmann W: Forces applied during laryngoscopy and their relationship with patient characteristics. Influence of height, weight, age, sex and presence of maxillary incisors. Anaesthesia 1992; 47:601-3
16. Bishop MJ, Harrington RM, Tencer AF: Force applied during tracheal intubation. Anesth Analg 1992; 74:411-4
17. McCoy EP, Austin BA, Mirakhur RK, Wong KC: A new device for measuring and recording the forces applied during laryngoscopy. Anaesthesia 1995; 50:139-43
18. LeGrand SA, Hindman BJ, Dexter F, Weeks JB, Todd MM: Craniocervical motion during direct laryngoscopy and orotracheal intubation with the Macintosh and Miller Blades. An in vivo cinefluoroscopic study. ANESTHESIOLOGY 2007; 107:884-91
19. Hastings RH, Kelley SD: Neurologic deterioration associated with airway management in a cervical spine-injured patient. ANESTHESIOLOGY 1993; 78:580-3
20. Muckart DJ, Bhagwanjee S, van der Merwe R: Spinal cord injury as a result of endotracheal intubation in patients with undiagnosed cervical spine fractures. ANESTHESIOLOGY 1997; 87:418-20
21. Manoach S, Paladino L: Manual in-line stabilization for acute airway management of suspected cervical spine injury: Historical review and current questions. Ann Emerg Med 2007; 50:236-45
22. Donaldson WF, Towers JD, Doctor A, Brand A, Donaldson VP: A methodology to evaluate motion of the unstable spine during intubation techniques. Spine 1993; 18:2020-3
23. Lennarson PJ, Smith DW, Sawin PD, Todd MM, Sato Y, Traynelis VC: Cervical spinal motion during intubation: efficacy of stabilization maneuvers in the setting of complete segmental instability. J Neurosurg 2001; 94(2 Suppl): 265-70
24. Gerling MC, Davis DP, Hamilton RS, Morris GF, Vilke GM, Garfin SR, Hayden SR: Effects of cervical spine immobilization technique and laryngoscope blade selection on an unstable cervical spine in a cadaver model of intubation. Ann Emerg Med 2000; 36:293-300