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Cervical spine movement during orotracheal intubation: comparison of the Belscope and Macintosh blades
| Content Provider | Scilit |
|---|---|
| Author | Gajraj, N. M. Chason, D. P. Shearer, V. E. |
| Copyright Year | 2007 |
| Description | Journal: Anaesthesia This study was designed to compare the degree of cervical spine movement during laryngoscopy and tracheal intubation using the Belscope and Macintosh laryngoscope blades. Twenty ASA 1 and 2 patients scheduled for elective surgery requiring tracheal intubation were studied. Following induction of anaesthesia and muscle relaxation, a neutral cross-table lateral cervical spine X ray was taken. Laryngoscopy was then performed in each patient using both the Belscope and Macintosh blades. After visualisation of the vocal cords and tracheal intubation the cervical spine X ray was repeated. Movement of the cervical spine was evaluated by tracing bony landmarks on each film and then superimposing the neutral and intubating films. We were unable to demonstrate a difference in the amount of cervical spine movement comparing the two blades. Using the Belscope blade, intubation took longer (median 18 s) than the Macintosh blade (median 12 s, p < 0.01) and was unsuccessful in two patients despite adequate visualisation of the vocal cords. |
| Related Links | http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.1994.tb04448.x/pdf |
| Ending Page | 774 |
| Page Count | 3 |
| Starting Page | 772 |
| e-ISSN | 13652044 |
| DOI | 10.1111/j.1365-2044.1994.tb04448.x |
| Journal | Anaesthesia |
| Issue Number | 9 |
| Volume Number | 49 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2007-02-22 |
| Access Restriction | Open |
| Subject Keyword | Journal: Anaesthesia Tracheal. Equipment Laryngoscopes. Anatomy |
| Content Type | Text |
| Resource Type | Article |
