Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 23

April - June 2007 (Part-I)

Number 2


 

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A wake tracheal intubation via intubating laryngeal mask
vs direct laryngoscopy and cervical spine excursion

Ata Mahmoudpour1, Hamzeh Hoseinzadeh2, Ali Peirovi far3, Sarvin Sanaie4

ABSTRACT
Objective: To compare intubating laryngeal mask airway (ILMA) with direct laryngoscopy in patients with cervical spine injury.
Patients and Methods: Prospective, hospital based study conducted during March 2004 to May 2005, in Imam Khomeini Hospital, Tabriz Medical Science University, Iran. We compared the excursion of the upper cervical spine during tracheal intubation using direct laryngoscopy with awake intubation via Laryngeal mask airway in 40 patients.
Results: Intubating laryngeal mask caused less extension (at C2-3 and C1-2) than intubation by direct laryngoscope. Patients, who were locally anesthetized and sedated tolerate intubation well. However laryngoscopy is still the fastest method to secure an airway.
Conclusion: In traumatic patients who require intubation and have limitation with cervical spine movement, we can use intubating laryngeal mask in awake patients locally anesthetized as a safe, tolerable and relatively fast method to secure an airway.

KEY WORDS: Intubating laryngeal mask, Awake Intubation, Cervical spine, Laryngoscopy.

Pak J Med Sci   April 2007   Vol. 23 No. 2   238-241


1. Ata Mahmoudpour
Anesthesiologist, Fellowship critical care medicine
2. Hamzeh Hoseinzadeh
Assistant professor of Anesthesiology
3. Ali Peirovi Far
Assistant professor of Anesthesiology
4. Sarvin Sanaie
General Physician
1-4: Department of Anesthesiology and Intensive Care,
Imam Khomeini Hospital, Tabriz – IRAN.

Correspondence

Ata Mahmoudpour,
No. 26, Homam Tabrizi Ave,
Mosaddeg square, Vali- asr
Tabriz, Iran.
Email: dr_am5757@yahoo.com

* Received for Publication: July 13, 2006
* Accepted: November 15, 2006


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