By Polly E. Parsons MD, Jeanine P. Wiener-Kronish MD
(Hanley & Belfus) Univ. of Vermont, Burlington. entire textual content offers the data wanted for educating rounds, scientific occasions, and oral checks. positive factors concise solutions, guidance, bulleted lists for speedy evaluation, and a complete index. query and resolution layout. prior version: c1998. Softcover.
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Additional info for Critical Care Secrets: Questions and Answers Reveal the Secrets to Effective Critical Care
M. M. : Comparison of 4 airway devices on cervical spine alignment in a cadaver model with global ligamentous instability at C5-C6. Spine 2012;37: 476-81 categories: those that permit a view of the larynx with a rigid video-furnished blade by which the ET tube can be directed into the larynx by the operator (GlideScope, Storz,), and those which direct the tube into the laryngeal inlet in addition to optimizing the view (Airtraq, Pentax Airway scope, King Vision). Of all these airway techniques FOB-guided nasotracheal intubation causes the least displacement [71, 76], although it may be associated with other problems such as prolonged intubation time, nose bleed, etc.
In other patients, the studies were negative, inadequate, or falsely positive or negative [58, 59]. For these reasons many trauma centers no longer perform flexion/extension films. M. M. Miller with negative CT results. MRI is a reliable tool; when it is normal it can conclusively exclude C-spine injury and is thus established as the gold standard for clearing the C-spine in a clinically suspicious blunt trauma patient . However, it is expensive, requires patient transport and medical supervision during a relatively long study period, and is so sensitive that it can detect subtle stable injuries which are clinically insignificant.
In one study, the laryngeal view with the GlideScope was superior to that obtained with the Macintosh blade . In another study involving 822 emergency room patients, of whom more than 60 % had sustained trauma, the first attempt success rate with the GlideScope was higher than that with conventional laryngoscopes; nevertheless the overall success rate was similar between the two techniques . The overall success rate was also found to be similar in another study of trauma patients, although intubation times were longer with the GlideScope .