Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9096686 | Journal of Clinical Anesthesia | 2005 | 10 Pages |
Abstract
A high level of suspicion and anticipation are the major components of decision making and management in a patient with CSI. Endotracheal intubation using the Bullard laryngoscope may have some advantages over other techniques as it causes less head and C-spine extension than the conventional laryngoscope, and this results in a better view. However, the current opinion is that oral intubation using a Macintosh blade after intravenous induction of anesthesia and muscle relaxation along with inline stabilization is the safest and quickest way to achieve intubation in a patient with suspected CSI. In summation caution, close care and maintenance of spinal immobilization are more important factors in limiting the risk of secondary neurological injury than any particular technique.
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Authors
Abid U. (Assistant Professor), Timothy W. (Professor of Pediatric Anesthesiology), Senthil (Fellow), Sanjaya (Assistant Professor of Radiology),