Peer-Reviewed Journal Details
Mandatory Fields
Shorten, G. D.,Ali, H. H.,Roberts, J. T.;
1995
Journal of clinical anesthesia
ASSESSMENT OF PATIENT POSITION FOR FIBEROPTIC INTUBATION USING VIDEOLARYNGOSCOPY
Validated
()
Optional Fields
7
11
31
3431
Study Objective: To compare laryngoscopic appearance obtained during flexible fiberoptic laryngoscopy with the patient's atlanto-occipital joint in the neutral and extended positions. Design: Controlled clinical trial with each patient (in the neutral position) acting as his or her own control. Setting: University teaching hospital. Patients: 20 adult ASA physical status I and II patients, without anatomical airway abnormalities, undergoing elective surgical procedures. Interventions: Fiberoptic laryngoscopy was performed on each patient with his or her atlanto-occipital joint in the neutral and extended positions. Measurements and Main Results: Photographs of the laryngoscopic appearances were graded on a scale of 1 to 4 by a blinded observer according to the proportion of the laryngeal inlet visible. Atlanto-occipital extension improved laryngoscopic appearance in 14 cases and produced no change in the remaining 6. Conclusion: Atlanto-occipital extension is a useful maneuver during attempted fiberoptic intubation.Study Objective: To compare laryngoscopic appearance obtained during flexible fiberoptic laryngoscopy with the patient's atlanto-occipital joint in the neutral and extended positions. Design: Controlled clinical trial with each patient (in the neutral position) acting as his or her own control. Setting: University teaching hospital. Patients: 20 adult ASA physical status I and II patients, without anatomical airway abnormalities, undergoing elective surgical procedures. Interventions: Fiberoptic laryngoscopy was performed on each patient with his or her atlanto-occipital joint in the neutral and extended positions. Measurements and Main Results: Photographs of the laryngoscopic appearances were graded on a scale of 1 to 4 by a blinded observer according to the proportion of the laryngeal inlet visible. Atlanto-occipital extension improved laryngoscopic appearance in 14 cases and produced no change in the remaining 6. Conclusion: Atlanto-occipital extension is a useful maneuver during attempted fiberoptic intubation.
0952-81800952-8180
://WOS:A1995QQ24600007://WOS:A1995QQ24600007
Grant Details