Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury
A prone position is not a standard position for anesthesia induction and associated with problems like difficult mask fit, impairment of orotracheal intubation by direct laryngoscopy, and reduction of pulmonary compliance. However anesthetic management of trauma victims presenting with penetrating p...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Saudi Journal of Anaesthesia |
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| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=3;spage=329;epage=331;aulast=Samantaray |
| _version_ | 1818026649450446848 |
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| author | Aloka Samantaray |
| author_facet | Aloka Samantaray |
| author_sort | Aloka Samantaray |
| collection | DOAJ |
| description | A prone position is not a standard position for anesthesia induction and associated with problems like difficult mask fit, impairment of orotracheal intubation by direct laryngoscopy, and reduction of pulmonary compliance. However anesthetic management of trauma victims presenting with penetrating posterior lumbar spine injury requires airway securement and induction of anesthesia in the prone position to avoid further neurological impairment. We herein present the first reported case of an adult trauma patient presented with an impaled knife protruding out of lower back, who underwent endotracheal intubation with an intubating laryngeal mask airway under general anesthesia in the prone position. Our experience indicates that this technique would be easier and less risky compared to direct laryngoscopy or awake fiber optic intubation and might be considered in an emergency situation. |
| first_indexed | 2024-12-10T04:35:22Z |
| format | Article |
| id | doaj.art-78da7ece771c467b85af8f231d529916 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-12-10T04:35:22Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-78da7ece771c467b85af8f231d5299162022-12-22T02:02:02ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2011-01-015332933110.4103/1658-354X.84114Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injuryAloka SamantarayA prone position is not a standard position for anesthesia induction and associated with problems like difficult mask fit, impairment of orotracheal intubation by direct laryngoscopy, and reduction of pulmonary compliance. However anesthetic management of trauma victims presenting with penetrating posterior lumbar spine injury requires airway securement and induction of anesthesia in the prone position to avoid further neurological impairment. We herein present the first reported case of an adult trauma patient presented with an impaled knife protruding out of lower back, who underwent endotracheal intubation with an intubating laryngeal mask airway under general anesthesia in the prone position. Our experience indicates that this technique would be easier and less risky compared to direct laryngoscopy or awake fiber optic intubation and might be considered in an emergency situation.http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=3;spage=329;epage=331;aulast=SamantarayAirway managementendotracheal intubationintubating laryngeal mask airwayprone position |
| spellingShingle | Aloka Samantaray Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury Saudi Journal of Anaesthesia Airway management endotracheal intubation intubating laryngeal mask airway prone position |
| title | Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury |
| title_full | Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury |
| title_fullStr | Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury |
| title_full_unstemmed | Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury |
| title_short | Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury |
| title_sort | tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury |
| topic | Airway management endotracheal intubation intubating laryngeal mask airway prone position |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=3;spage=329;epage=331;aulast=Samantaray |
| work_keys_str_mv | AT alokasamantaray trachealintubationinthepronepositionwithanintubatinglaryngealmaskairwayfollowingposteriorspineimpaledknifeinjury |