Saudi Journal of Anaesthesia

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

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


Yukihide Koyama1, Koichi Tsuzaki1, Kazuo Ohmori2, Koichiro Ono2, Takeshi Suzuki3 
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
Japan

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.


How to cite this article:
Koyama Y, Tsuzaki K, Ohmori K, Ono K, Suzuki T. C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology.Saudi J Anaesth 2020;14:390-393


How to cite this URL:
Koyama Y, Tsuzaki K, Ohmori K, Ono K, Suzuki T. C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology. Saudi J Anaesth [serial online] 2020 [cited 2022 May 17 ];14:390-393
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=3;spage=390;epage=393;aulast=Koyama;type=0