Journal article
C1-C2 Motion During C-MAC D-Blade Videolaryngoscopy and Endotracheal Intubation in 2 Patients With Type II Odontoid Fractures: A Case Report
A&A practice, Vol.13(4), pp.121-123
08/15/2019
DOI: 10.1213/XAA.0000000000001000
PMCID: PMC6697197
PMID: 30907749
Abstract
Laryngoscopy and endotracheal intubation in patients with unstable cervical spines may cause pathological spinal motion and resultant cord injury. Cadaver and mathematical (finite element) models of a type II odontoid fracture predict C1-C2 motions during intubation to be of low magnitude, especially with the use of a low-force videolaryngoscope. Using continuous fluoroscopy, we recorded C1-C2 motion during C-MAC D videolaryngoscopy and intubation in 2 patients with type II odontoid fractures. In these 2 patients, C1-C2 extension and change in C1-C2 canal space were comparable to motions predicted by cadaver and finite element models and did not cause neurological injury.
Details
- Title: Subtitle
- C1-C2 Motion During C-MAC D-Blade Videolaryngoscopy and Endotracheal Intubation in 2 Patients With Type II Odontoid Fractures: A Case Report
- Creators
- Bradley J Hindman - From the Departments of AnesthesiaRoyce W Woodroffe - Neurosurgery, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IowaMario Zanaty - Neurosurgery, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IowaHiroto Kawasaki - Neurosurgery, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IowaSatoshi Yamaguchi - Neurosurgery, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IowaChristian M Puttlitz - Department of Mechanical Engineering, School of Biomedical Engineering, Orthopaedic Bioengineering Research Laboratory, Colorado State University, Fort Collins, ColoradoBenjamin C Gadomski - Department of Mechanical Engineering, School of Biomedical Engineering, Orthopaedic Bioengineering Research Laboratory, Colorado State University, Fort Collins, Colorado
- Resource Type
- Journal article
- Publication Details
- A&A practice, Vol.13(4), pp.121-123
- DOI
- 10.1213/XAA.0000000000001000
- PMID
- 30907749
- PMCID
- PMC6697197
- NLM abbreviation
- A A Pract
- ISSN
- 2575-3126
- eISSN
- 2575-3126
- Publisher
- United States
- Grant note
- R01 EB012048 / NIBIB NIH HHS
- Language
- English
- Date published
- 08/15/2019
- Academic Unit
- Iowa Neuroscience Institute; Anesthesia; Neurosurgery
- Record Identifier
- 9984040259102771
Metrics
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