Radiographic comparison of cervical spine motion using LMA Fastrach, LMA CTrach, and the Macintosh laryngoscope

Gözde İNAN; Nurdan BEDİRLİ; Zerrin Özköse ŞATIRLAR

Makale detayları

Radiographic comparison of cervical spine motion using LMA Fastrach, LMA CTrach, and the Macintosh laryngoscope

Yazarlar:

Gözde İNAN | Nurdan BEDİRLİ | Zerrin Özköse ŞATIRLAR

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 6, pp.1681-1686

Belge Tipi:

Makale

Yayın Tarihi:

11/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000749771

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim: The  optimal  technique  for  airway  management  in  patients  with  cervical  pathology  remains  unclear.  Intubating  laryngeal mask airway devices such as LMA CTrach and LMA Fastrach have not been compared for cervical spine (C-spine) movements in the context of cervical pathology. The present study aimed to determine upper C-spine movements by radiography during intubation with different devices as well as comparing the duration and success of intubation in cervical surgery.Materials  and  methods:  Sixty  patients  scheduled  for  elective  cervical  surgery  were  registered  in  this  prospective,  randomized  study.  Patients with cervical trauma/injury, previous neck surgery, and body mass index (BMI) of >35 kg/m2 were excluded. Participants were randomized  to  one  of  the  3  groups:  LMA  CTrach,  LMA  Fastrach,  or  the  Macintosh  laryngoscope.  C-spine  motion  was  evaluated  by  measuring angles created by bordering vertebrae at cervical 1/2 and 2/3 (C1/2, C2/3) segments on 2 lateral cervical radiographs for each patient. Intubation time, ease of intubation, number of attempts, and success rate were also documented. Results: Demographic data were similar in all the groups. The cervical movement with LMA CTrach and LMA Fastrach compared to the Macintosh laryngoscope were similar at C1/2. However, LMA CTrach significantly reduced extension compared to LMA Fastrach and Macintosh laryngoscopes at C2/3. Duration of intubation was significantly shorter with the Macintosh laryngoscope. The rate of successful intubation was 80% with LMA Fastrach and 100% with both LMA CTrach and the Macintosh laryngoscopes.Conclusion: TheLMA CTrach laryngoscopy involves less upper C-spine movement than the LMA Fastrach and does not increase the duration of the intubation period.

Makale detayları

Radiographic comparison of cervical spine motion using LMA Fastrach, LMA CTrach, and the Macintosh laryngoscope

Yazarlar: Gözde İNAN | Nurdan BEDİRLİ | Zerrin Özköse ŞATIRLAR

Yayıncı: TUBITAK

Ana Başlıklar: Sağlık teşvikleri

Dergi: Turkish Journal of Medical Sciences 2019 Vol.49 Issue 6, pp.1681-1686

Belge Tipi: Makale

Yayın Tarihi: 11/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000749771

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Gözde İNAN | Nurdan BEDİRLİ | Zerrin Özköse ŞATIRLAR

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 6, pp.1681-1686

Belge Tipi:

Makale

Yayın Tarihi:

11/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000749771

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144