Year : 2020  |  Volume : 14  |  Issue : 3  |  Page : 390-393

C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology

1 Department of Anesthesia, Nippon Koukan Hospital, Kawasaki, Japan
2 Center for Spinal Surgery, Nippon Koukan Hospital, Kawasaki, Japan
3 Department of Anesthesiology, Tokai University School of Medicine, Isehara, Japan

Correspondence Address:
Dr. Yukihide Koyama
Department of Anesthesia, Nippon Koukan Hospital, 1-2-1 Koukan-dori, Kawasaki-ku, Kawasaki-shi, Kanagawa Prefecture, 210-0852
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sja.SJA_782_19

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Tracheal intubation is challenging in patients with severe cervical spine pathology. In such cases, awake fiberoptic intubation is the gold standard and safest option for tracheal intubation. However, this technique requires the patient's understanding and cooperation, and therefore, may be contraindicated in patients with refusal or poor tolerance. Herein, we report successful orotracheal intubation in a patient with limited mouth opening and severe cervical spine rigidity under general anesthesia using an extraglottic airway device and a gum-elastic bougie under C-arm fluoroscopic guidance.

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