Indian Journal of Anaesthesia

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

Management of difficult airway in penetrating cervical spine injury


Mukesh Kumar Prasad, Ajay Kumar Sinha, Umesh Kumar Bhadani, Balbir Chabra, Kanchan Rani, Bhavana Srivastava 
 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

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.


How to cite this article:
Prasad MK, Sinha AK, Bhadani UK, Chabra B, Rani K, Srivastava B. Management of difficult airway in penetrating cervical spine injury.Indian J Anaesth 2010;54:59-61


How to cite this URL:
Prasad MK, Sinha AK, Bhadani UK, Chabra B, Rani K, Srivastava B. Management of difficult airway in penetrating cervical spine injury. Indian J Anaesth [serial online] 2010 [cited 2013 May 23 ];54:59-61
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2010;volume=54;issue=1;spage=59;epage=61;aulast=Prasad;type=0