Indian Journal of Neurotrauma 2016; 13(03): 179-180
DOI: 10.1055/s-0036-1597944
Letter to the Editor
Thieme Medical and Scientific Publishers Private Ltd.

Intubation in a Patient with Ice-Pick in the Spine: Molar Approach of Direct Laryngoscopy to our Rescue

Renu Bala
1   Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India
,
Raj Singh
1   Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India
,
Sheetal Dhankar
2   Deen Dayal Upadhyay Hospital, New Delhi, Delhi, India
,
Rajeev Beniwal
1   Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India
› Author Affiliations
Further Information

Publication History

22 November 2016

18 December 2016

Publication Date:
28 December 2016 (online)

Abstract

Intubation in patients with spine injury is difficult due to several reasons. In patients with retained foreign body in the spine, difficulty is aggravated by imperfect position and risk of neurologic deterioration. We overcome this difficulty with a simple alternative method of intubation.

 
  • References

  • 1 Nathanson MH, Gajraj NM, Newson CD. Tracheal intubation in a manikin: comparison of supine and left lateral positions. Br J Anaesth 1994; 73 (5) 690-691
  • 2 Khan MF, Khan FA, Minai FN. Airway management and hemodynamic response to laryngoscopy and intubation in supine and left lateral position. Middle East J Anaesthesiol 2010; 20 (6) 795-802
  • 3 Komatsu R, Nagata O, Sessler DI, Ozaki M. The intubating laryngeal mask airway facilitates tracheal intubation in the lateral position. Anesth Analg 2004; 98 (3) 858-861
  • 4 Bhat R, Sanickop CS, Patil MC, Umrani VS, Dhorigol MG. Comparison of Macintosh laryngoscope and C-MAC video laryngoscope for intubation in lateral position. J Anaesthesiol Clin Pharmacol 2015; 31 (2) 226-229
  • 5 Saini S, Bala R, Singh R. Left molar approach improves laryngeal view in patients with simulated limitation of cervical movements. Acta Anaesthesiol Scand 2008; 52 (6) 829-833