Effect of rigid cervical collar on tracheal intubation using Airtraq®
Background and Aims: Cervical spine immobilisation with rigid cervical collar imposes difficulty in intubation. Removal of the anterior part of the collar may jeopardize the safety of the cervical spine. The effect of restricted mouth opening and cervical spine immobilisation that result from the ap...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=4;spage=416;epage=422;aulast=Durga |
| _version_ | 1819094336122388480 |
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| author | Padmaja Durga Chiranjeevi Yendrapati Geeta Kaniti Narmada Padhy Kiran Kumar Anne Gopinath Ramachandran |
| author_facet | Padmaja Durga Chiranjeevi Yendrapati Geeta Kaniti Narmada Padhy Kiran Kumar Anne Gopinath Ramachandran |
| author_sort | Padmaja Durga |
| collection | DOAJ |
| description | Background and Aims: Cervical spine immobilisation with rigid cervical collar imposes difficulty in intubation. Removal of the anterior part of the collar may jeopardize the safety of the cervical spine. The effect of restricted mouth opening and cervical spine immobilisation that result from the application of rigid cervical collar on intubation using Airtraq ® was evaluated. Methods: Seventy healthy adults with normal airways included in the study were intubated Using Airtraq® with (group C) and without rigid cervical collar (group NC). The ease of insertion of Airtraq ® into the oral cavity, intubation time, intubation difficulty score (IDS) were compared using Wilcoxon sign ranked test and McNemar test, using SPSS version 13. Results: Intubation using Airtraq ® was successful in the presence of the cervical collar in 96% which was comparable to group without collar (P = 0.24). The restriction of mouth opening resulted in mild difficulty in insertion of Airtraq ® . The median Likert scale for insertion was - 1 in the group C and + 1 in group NC (P < 0.001). The intubation time was longer in group C (30 ± 14.3 s vs. 26.9 ± 14.8 s) compared to group NC. The need for adjusting manoeuvres was 18.5% in group C versus 6.2% in group NC (P = 0.003) and bougie was required in 12 (18.5%) and 4 (6.2%) patients in group C and NC, respectively, to facilitate intubation (P = 0.02). The modified IDS score was higher in group C but there was no difference in the number of patients with IDS < 2. Conclusion: Tracheal intubation using Airtraq ® in the presence of rigid cervical collar has equivalent success rate, acceptable difficulty in insertion and mild increase in IDS. |
| first_indexed | 2024-12-21T23:25:47Z |
| format | Article |
| id | doaj.art-c2ac9afc318841b3bfbd339dd103981c |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-21T23:25:47Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-c2ac9afc318841b3bfbd339dd103981c2022-12-21T18:46:38ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492014-01-0158441642210.4103/0019-5049.138976Effect of rigid cervical collar on tracheal intubation using Airtraq®Padmaja DurgaChiranjeevi YendrapatiGeeta KanitiNarmada PadhyKiran Kumar AnneGopinath RamachandranBackground and Aims: Cervical spine immobilisation with rigid cervical collar imposes difficulty in intubation. Removal of the anterior part of the collar may jeopardize the safety of the cervical spine. The effect of restricted mouth opening and cervical spine immobilisation that result from the application of rigid cervical collar on intubation using Airtraq ® was evaluated. Methods: Seventy healthy adults with normal airways included in the study were intubated Using Airtraq® with (group C) and without rigid cervical collar (group NC). The ease of insertion of Airtraq ® into the oral cavity, intubation time, intubation difficulty score (IDS) were compared using Wilcoxon sign ranked test and McNemar test, using SPSS version 13. Results: Intubation using Airtraq ® was successful in the presence of the cervical collar in 96% which was comparable to group without collar (P = 0.24). The restriction of mouth opening resulted in mild difficulty in insertion of Airtraq ® . The median Likert scale for insertion was - 1 in the group C and + 1 in group NC (P < 0.001). The intubation time was longer in group C (30 ± 14.3 s vs. 26.9 ± 14.8 s) compared to group NC. The need for adjusting manoeuvres was 18.5% in group C versus 6.2% in group NC (P = 0.003) and bougie was required in 12 (18.5%) and 4 (6.2%) patients in group C and NC, respectively, to facilitate intubation (P = 0.02). The modified IDS score was higher in group C but there was no difference in the number of patients with IDS < 2. Conclusion: Tracheal intubation using Airtraq ® in the presence of rigid cervical collar has equivalent success rate, acceptable difficulty in insertion and mild increase in IDS.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=4;spage=416;epage=422;aulast=DurgaAirtraq ®intubationintubation difficulty scorerigid cervical collar |
| spellingShingle | Padmaja Durga Chiranjeevi Yendrapati Geeta Kaniti Narmada Padhy Kiran Kumar Anne Gopinath Ramachandran Effect of rigid cervical collar on tracheal intubation using Airtraq® Indian Journal of Anaesthesia Airtraq ® intubation intubation difficulty score rigid cervical collar |
| title | Effect of rigid cervical collar on tracheal intubation using Airtraq® |
| title_full | Effect of rigid cervical collar on tracheal intubation using Airtraq® |
| title_fullStr | Effect of rigid cervical collar on tracheal intubation using Airtraq® |
| title_full_unstemmed | Effect of rigid cervical collar on tracheal intubation using Airtraq® |
| title_short | Effect of rigid cervical collar on tracheal intubation using Airtraq® |
| title_sort | effect of rigid cervical collar on tracheal intubation using airtraq r |
| topic | Airtraq ® intubation intubation difficulty score rigid cervical collar |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=4;spage=416;epage=422;aulast=Durga |
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