REBEL Core Cast 59.0 – C-Spine Intubation

Take Home Points

  • Neck movement (both extension and flexion) has the ability to cause cord damage.
  • Using hyperangulated blade in video laryngoscopy improves chances for glottic visualization in patients with a c-collar in place.
  • Ultimately, hypoxemia kills – Intubate the patient with what you have available, as there has not been shown to be a definitively superior technique.

REBEL Core Cast 59.0 – C-Spine Intubation

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Read More

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  3. Crosby ET. Airway Management in Adults After Cervical Spine Trauma. Anesthesiology 2006. PMID: 16732102
  4. Ezri T et al. Difficult Airway management Practice Patterns Among Anesthesiologists Practicing in the United States: Have We Made Any Progress? J Clin Anesthesiology 2003. PMID: 14652117
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  9. Meschino A et al. The Safety of Awake Tracheal Intubation in Cervical Spine Injury. Can J Anaesth 1992. PMID: 1544191
  10. Rhee KJ et al. Oral Intubation in the Multiply Injured Patient: The Risk of Exacerbating Spinal Cord Damage. Ann Emerg Med 1990. PMID: 2331094
  11. Rosenblatt WH et al. Practice Patterns in Managing the Difficult Airway by Anesthesiologists in the United States. Anesthesiology Analg 1998. PMID: 9661565
  12. Scanell G et al. Orotracheal Intubation in Trauma Patients with Cervical Fractures. Arch Sur 1993. PMID: 8343063
  13. Suderman VS et al. Elective Oral Tracheal Intubation in Cervical
    Spine-Injured Adults. Can J Anaesth 1991. PMID: 1914066
  14. Wright SW et al. Cervical Spine Injuries in Blunt Trauma Patients Requiring Emergent Endotracheal Intubation. Am J Emerg Med 1992. PMID: 1586400

Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Cite this article as: Anand Swaminathan, "REBEL Core Cast 59.0 – C-Spine Intubation", REBEL EM blog, June 16, 2021. Available at: https://rebelem.com/rebel-core-cast-59-0-c-spine-intubation/.

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