[Cervical spine instability in the surgical patient].
Many congenital and acquired diseases, including trauma, may result in cervical spine instability. Given that airway management is closely related to the movement of the cervical spine, it is important that the anesthesiologist has detailed knowledge of the anatomy, the mechanisms of cervical spine instability, and of the effects that the different airway maneuvers have on the cervical spine. We first review the normal anatomy and biomechanics of the cervical spine in the context of airway management and the concept of cervical spine instability. In the second part, we review the protocols for the management of cervical spine instability in trauma victims and some of the airway management options for these patients.
Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, Estados Unidos. Electronic address: atilio.barbeito@duke.edu.
A
A
Barbeito
Departamento de Anestesiología, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina.
R A
RA
Guerri-Guttenberg
D058109:Airway Management / Q000379:methods*; D000402:Airway Obstruction / Q000209:etiology*; D001268:Atlanto-Axial Joint / Q000503:physiopathology; D001269:Atlanto-Occipital Joint / Q000503:physiopathology; D001696:Biomechanical Phenomena; D002574:Cervical Vertebrae / Q000503:physiopathology*; D006801:Humans; D004204:Joint Dislocations / Q000503:physiopathology; D007593:Joint Instability / Q000503:physiopathology*; D008022:Ligaments / Q000503:physiopathology; D009038:Motion; D009140:Musculoskeletal Diseases / Q000503:physiopathology; D009334:Neck Muscles / Q000503:physiopathology; D009468:Neuromuscular Diseases / Q000503:physiopathology; D016059:Range of Motion, Articular; D014947:Wounds and Injuries / Q000503:physiopathology / Q000628:therapy
Airway; Anatomy; Anatomía; Anestesiología; Anesthesiology; Artritis reumatoidea; Cervical spine instability; Inestabilidad cervical; Intubación orotraqueal; Rheumatoid arthritis; Tracheal intubation; Trauma; Vía aérea