Journal of clinical anesthesia · 1995
Assessment of patient position for fiberoptic intubation using videolaryngoscopy.
Клиническое исследованиеСравнительное исследованиеКонтролируемое клиническое исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Shorten G D, Ali H H, Roberts J T
Аннотация
STUDY OBJECTIVE: To compare laryngoscopic appearance obtained during flexible fiberoptic laryngoscopy with the patient's atlanto-occipital joint in the neutral and extended positions.
DESIGN: Controlled clinical trial with each patient (in the neutral position) acting as his or her own control.
SETTING: University teaching hospital.
PATIENTS: 20 adult ASA physical status I and II patients, without anatomical airway abnormalities, undergoing elective surgical procedures.
INTERVENTIONS: Fiberoptic laryngoscopy was performed on each patient with his or her atlanto-occipital joint in the neutral and extended positions.
MEASUREMENTS AND MAIN RESULTS: Photographs of the laryngoscopic appearances were graded on a scale of 1 to 4 by a blinded observer according to the proportion of the laryngeal inlet visible. Atlanto-occipital extension improved laryngoscopic appearance in 14 cases and produced no change in the remaining 6.
CONCLUSION: Atlanto-occipital extension is a useful maneuver during attempted fiberoptic intubation.
DESIGN: Controlled clinical trial with each patient (in the neutral position) acting as his or her own control.
SETTING: University teaching hospital.
PATIENTS: 20 adult ASA physical status I and II patients, without anatomical airway abnormalities, undergoing elective surgical procedures.
INTERVENTIONS: Fiberoptic laryngoscopy was performed on each patient with his or her atlanto-occipital joint in the neutral and extended positions.
MEASUREMENTS AND MAIN RESULTS: Photographs of the laryngoscopic appearances were graded on a scale of 1 to 4 by a blinded observer according to the proportion of the laryngeal inlet visible. Atlanto-occipital extension improved laryngoscopic appearance in 14 cases and produced no change in the remaining 6.
CONCLUSION: Atlanto-occipital extension is a useful maneuver during attempted fiberoptic intubation.