Recenzija, prikaz
https://doi.org/10.20471/acc.2023.62.s1.19
Airway Management with Rigid Bronchoscope in Adult Patient during Cervical Spine Surgery: A Case Report
Ivo Jurišić
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, Croatia
Morena Milić
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, Croatia; Dubrovnik University, Dubrovnik, Croatia
Iva Smiljanić
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, Croatia
Ana Brundula
; Croatia Polyclinic, Zagreb, Croatia
Perislav Lauš
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, Croatia
Vesna Jurišić
; Zagreb-East Health Center, Zagreb, Croatia
Kristina Jurišić Brzica
; Zagreb-East Health Center, Zagreb, Croatia
Sažetak
SCIWOCTET is a cervical spine injury (CSI) with objective signs of myelopathy,
due to trauma, without evidence of ligament injury or bone fractures on x-ray and computed tomography
(CT) images. It is rare, found in about 3% of patients with CSI. Perioperative manipulation
of these patients may cause secondary spinal cord injury. The challenge for the anesthesiologist is to
manage an airway with as little movement of the patient’s head and neck as possible. A patient is
presented after a fall from a motorbike. At hospital admission, he had neurological deficit in the innervation
area of the cervical spinal cord. Multi-slice CT of the head and cervical spine was without signs
of acute bone trauma. Magnetic resonance imaging was performed and the diagnosis met the criteria
defining SCIWOCTET. Elective cervical spine surgery under general anesthesia was performed, the
patient was intubated with a rigid bronchoscope using manual in-line immobilization. The selection of
instruments and procedures is emphasized. Other procedures, techniques and instruments that can be
used for airway management and their influence on the movement of the patient’s head and neck are
listed. It is concluded that rigid bronchoscopy with the application of manual in-line immobilization
is suitable for emergency and elective intubation of patients with cervical spine pathology.
Ključne riječi
Anesthesia; Cervical spinal cord injury; SCIWOCTET; Airway; Rigid bronchoscope; Bonfils
Hrčak ID:
307519
URI
Datum izdavanja:
1.4.2023.
Posjeta: 331 *