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CASE REPORT
Year : 2010  |  Volume : 54  |  Issue : 1  |  Page : 59-61

Management of difficult airway in penetrating cervical spine injury


Department of Anaesthesiology, U.F.H.T. Medical College, Rampur Road, Haldwani, Nainital, Uttrakhand, India

Correspondence Address:
Mukesh Kumar Prasad
Department of Anaesthesiology, U.F.H.T. Medical College, Rampur Road, Haldwani, Nainital, Uttrakhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.60501

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Management of airway in trauma victim with penetrating cervical/thoracic spine injury has always been a challenge to the anaesthesiologist. Stabilisation of spine during airway manipulation, to prevent any further neural damage, is of obvious concern to the anaesthesiologist. Most anaesthesiologists are not exposed to direct laryngoscopy and intubation in lateral position during their training period. Tracheal intubation in the lateral position may be unavoidable in some circumstances. Difficult airway in an uncooperative patient compounds the problem to secure airway in lateral position. We present a 46-year-old alcoholic, hypertensive, morbidly obese person who suffered a sharp instrument (screwdriver) spinal injury with anticipated difficult intubation; the case was managed successfully.


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