Donaldson W F, Towers J D, Doctor A, Brand A, Donaldson V P
University of Pittsburgh Medical Center, Pennsylvania.
Spine (Phila Pa 1976). 1993 Oct 15;18(14):2020-3. doi: 10.1097/00007632-199310001-00015.
Airway management in patients with an unstable cervical spine remains a challenge. A video fluoroscopic technique that transfers the image to a floppy disk for direct measurement is described. This technique enabled standardized, direct measurement of the cervical spine during airway maneuvers before and after a C5-6 posterior instability was surgically created in five cadaveric specimens. Unsupported direct oral techniques often can cause more motion than do indirect nasal techniques, and chin lift/jaw thrust and cricoid pressure can cause as much motion as do some of the intubation techniques.
颈椎不稳定患者的气道管理仍然是一项挑战。本文描述了一种视频荧光透视技术,该技术可将图像传输到软盘进行直接测量。在五个尸体标本上手术制造C5-6后路不稳定之前和之后的气道操作过程中,这种技术能够对颈椎进行标准化的直接测量。无支撑直接经口技术通常比间接经鼻技术引起更多的活动,并且抬颏/托下颌和环状软骨压迫与某些插管技术引起的活动一样多。