Airway Management with Rigid Bronchoscope in Adult Patient during Cervical Spine Surgery: A Case Report
SCIWOCTET is a cervical spine injury (CSI) with objective signs of myelopathy, due to trauma, without evidence of ligament injury or bone fractures on x-ray and computed tomography (CT) images. It is rare, found in about 3% of patients with CSI. Perioperative manipulation of these patients may ca...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2023-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/443955 |
| _version_ | 1797206375949926400 |
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| author | Ivo Jurišić Morena Milić Iva Smiljanić Ana Brundula Perislav Lauš Vesna Jurišić Kristina Jurišić Brzica |
| author_facet | Ivo Jurišić Morena Milić Iva Smiljanić Ana Brundula Perislav Lauš Vesna Jurišić Kristina Jurišić Brzica |
| author_sort | Ivo Jurišić |
| collection | DOAJ |
| description | SCIWOCTET is a cervical spine injury (CSI) with objective signs of myelopathy,
due to trauma, without evidence of ligament injury or bone fractures on x-ray and computed tomography
(CT) images. It is rare, found in about 3% of patients with CSI. Perioperative manipulation
of these patients may cause secondary spinal cord injury. The challenge for the anesthesiologist is to
manage an airway with as little movement of the patient’s head and neck as possible. A patient is
presented after a fall from a motorbike. At hospital admission, he had neurological deficit in the innervation
area of the cervical spinal cord. Multi-slice CT of the head and cervical spine was without signs
of acute bone trauma. Magnetic resonance imaging was performed and the diagnosis met the criteria
defining SCIWOCTET. Elective cervical spine surgery under general anesthesia was performed, the
patient was intubated with a rigid bronchoscope using manual in-line immobilization. The selection of
instruments and procedures is emphasized. Other procedures, techniques and instruments that can be
used for airway management and their influence on the movement of the patient’s head and neck are
listed. It is concluded that rigid bronchoscopy with the application of manual in-line immobilization
is suitable for emergency and elective intubation of patients with cervical spine pathology. |
| first_indexed | 2024-04-24T09:06:02Z |
| format | Article |
| id | doaj.art-4746ceeb03af4361ad158937e6983ed3 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:06:02Z |
| publishDate | 2023-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-4746ceeb03af4361ad158937e6983ed32024-04-15T18:51:19ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512023-01-0162.Supplement 114214710.20471/acc.2023.62.s1.19Airway Management with Rigid Bronchoscope in Adult Patient during Cervical Spine Surgery: A Case ReportIvo Jurišić0Morena Milić1Iva Smiljanić2Ana Brundula3Perislav Lauš4Vesna Jurišić5Kristina Jurišić Brzica6Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, CroatiaDepartment of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, Croatia; Dubrovnik University, Dubrovnik, CroatiaDepartment of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, CroatiaCroatia Polyclinic, Zagreb, CroatiaDepartment of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, CroatiaZagreb-East Health Center, Zagreb, CroatiaZagreb-East Health Center, Zagreb, CroatiaSCIWOCTET is a cervical spine injury (CSI) with objective signs of myelopathy, due to trauma, without evidence of ligament injury or bone fractures on x-ray and computed tomography (CT) images. It is rare, found in about 3% of patients with CSI. Perioperative manipulation of these patients may cause secondary spinal cord injury. The challenge for the anesthesiologist is to manage an airway with as little movement of the patient’s head and neck as possible. A patient is presented after a fall from a motorbike. At hospital admission, he had neurological deficit in the innervation area of the cervical spinal cord. Multi-slice CT of the head and cervical spine was without signs of acute bone trauma. Magnetic resonance imaging was performed and the diagnosis met the criteria defining SCIWOCTET. Elective cervical spine surgery under general anesthesia was performed, the patient was intubated with a rigid bronchoscope using manual in-line immobilization. The selection of instruments and procedures is emphasized. Other procedures, techniques and instruments that can be used for airway management and their influence on the movement of the patient’s head and neck are listed. It is concluded that rigid bronchoscopy with the application of manual in-line immobilization is suitable for emergency and elective intubation of patients with cervical spine pathology.https://hrcak.srce.hr/file/443955AnesthesiaCervical spinal cord injurySCIWOCTETAirwayRigid bronchoscopeBonfils |
| spellingShingle | Ivo Jurišić Morena Milić Iva Smiljanić Ana Brundula Perislav Lauš Vesna Jurišić Kristina Jurišić Brzica Airway Management with Rigid Bronchoscope in Adult Patient during Cervical Spine Surgery: A Case Report Acta Clinica Croatica Anesthesia Cervical spinal cord injury SCIWOCTET Airway Rigid bronchoscope Bonfils |
| title | Airway Management with Rigid Bronchoscope in Adult Patient during Cervical Spine Surgery: A Case Report |
| title_full | Airway Management with Rigid Bronchoscope in Adult Patient during Cervical Spine Surgery: A Case Report |
| title_fullStr | Airway Management with Rigid Bronchoscope in Adult Patient during Cervical Spine Surgery: A Case Report |
| title_full_unstemmed | Airway Management with Rigid Bronchoscope in Adult Patient during Cervical Spine Surgery: A Case Report |
| title_short | Airway Management with Rigid Bronchoscope in Adult Patient during Cervical Spine Surgery: A Case Report |
| title_sort | airway management with rigid bronchoscope in adult patient during cervical spine surgery a case report |
| topic | Anesthesia Cervical spinal cord injury SCIWOCTET Airway Rigid bronchoscope Bonfils |
| url | https://hrcak.srce.hr/file/443955 |
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