Injury of Cervical Spine
Conditions
Keywords
cervical spine, intubating laryngeal mask airway, Glidescope videolaryngoscope, collar
Brief summary
Intubation must be done with utmost care in cervical trauma patients. cervical spine motion must be minimized and intubation must be fast. The aim of this study was to compare the effectiveness of fastrach and glidescope. 18-65 years of age , ASA I-II 100 patients undergoing elective surgery were enrolled in this trial. After standard monitorisation including EKG , noninvasive blood pressure, pulse oximetry, anesthesia was induced with propofol and fentanyl. rocuronium was then administered for muscle relaxation. Patients were divided into two groups glidescope and fastrach. Rigid collar was placed then patients were intubated with one of these devices. Mask ventilations with or without collar were recorded. insertion times, intubation times of the devices were recorded. Peroperative hemodynamic parameters and postoperative minor complications were also recoded.
Detailed description
inclusion criteria: ASA I-II , 18-60 years of age undergoing elective surgery requiring intubation exclusion criteria: \- pregnancy reflux nonfasted head and neck tumors recent flue in 2 weeks
Interventions
videolaryngoscope
handling of the device till the optimal ventilation achieved
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-65 years of age * ASA I-II * requiring intubation * BMI\<35
Exclusion criteria
* less than 18 or higher than 65 * ASA III-IV * BMI\> 35 * PREGNANT * head and neck tumors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| intubation times | From handling of the device till intıbation |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate | From Preoperative heart rate till 15 minutes After intubation |
| Mean arterial pressure | From preinduction till 15 minutes after intubation |
Other
| Measure | Time frame |
|---|---|
| minor complications | From the end of surgery till 2 hours postoperatively |
| Mucosal damage | Bloodstain on the device after removal |
Countries
Turkey (Türkiye)