Use of Proseal LMA in a Patient of Fracture Cervical Vertebra Presenting for Non Spinal Surgery - Are We Justified?
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Airway management in a patient of cervical spine injury is an audacious but a rewarding task. The key to successful management of these patients is attention to head positioning and stabilization during initial evaluation and airway management in order to avoid secondary neurogical insult. Case report: Successful placement of proseal LMA was achieved in a single attempt, with bilateral adequate and equal air entry. MILS was maintained throughout bag mask ventilation and LMA placement. There is considerable evidence that mask ventilation causes significant movement of cervical axis and occiput. This makes airway management in fracture of C2 vertebra a dangerous task. Cervical spine immobilization is the standard of care until spinal injury is excluded. Conclusion: Awareness and adequate use of individualized airway management procedures according to the urgency of the situation and skills of the anaesthetist are the key to success in patients of cervical spine injury.
Authors and Affiliations
Priyanka Bansal
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