medigraphic.com
Colegio de Medicos y Cirujanos República de Costa Rica

2010, Number 592

<< Back Next >>

Rev Med Cos Cen 2010; 67 (592)

Manejo de la vía aérea en trauma

Carvajal RL

Language: Spanish
References: 10
Page: 123-126
PDF size: 278.16 Kb.


ABSTRACT

Maintenance of the airway and the prevention of gastric contents aspiration are essential to the management of the trauma patient, which requires experience in techniques for the control. Some difficulties in the trauma setting are increased by the vital failures, the risk of aspiration, the potential cervical spine injury, the combative patient, and the obvious risk of difficult tracheal intubation related to the specific injury related to the trauma. In this article we will emphasize the basic management of the airway in trauma, giving special attention to difficult airway until a definitive airway is obtained, the basic management of the cervical stabilization during the intubation will be reviewed and recommendations of how to predict a potentially difficult airway will be given. Also it will be mentioned the technique for rapid sequence intubation; which facilitates in required opportunities the orotracheal intubation.


REFERENCES

  1. Adnet F, Borron SW, Racine SX, Clernessy JL, Fournier JL, Plaisance P et al. The intubation difficulty scale: proposal and evaluation for a new score characterizing the complexity of endotracheal intubation.Anesthesiology1997;87:1290-7.

  2. ATLS 2000. Séptima edición. Colegio Americano de Cirujanos.

  3. Benurnoff JL. Management of the difficult airway. With special emphasis on awake tracheal intubation. Anesthesiology 1991;75:1087-110.

  4. Brohi K, Wilson-Macdonald J. Evaluation of unstable cervical spine injury:a six year experience. Journal of Trauma-Injury Infection & Critical Care2000;49(1):76-80.

  5. Crosby ET. Airway managenement in adults after cervical spine trauma. Anesthesiology 2006;104: 1293-318.

  6. Crosby ET, Cooper RM, Douglas MJ, et al. The unanticipated difficult airway with recommendations for management. Can J Anaesth 1998; 45(8): 757-776.

  7. Majernick TG, Bieniek R, Houston JB, Hughees HG. Cervical spine movement during orotracheal intubation. Ann Emerg Med 1986; 15:417-20.

  8. Marion Donald W. Domeier R, Dunham M, Luchette F, Haid R, Erwood S. Practice management guidelines for identifying cervical spine injuries following trauma. EAST Practice Parameter Workgroup for cervical SpineClearance.

  9. Morton T, Brady S, Clancy M. Difficcult airway equipment in English emergency departments. Anaesthesia 2000;55 (5): 485-488.

  10. Sorteen GD, Airway management. Curr Opin Anesth, USA 5, 1997; pag 772.




2020     |     www.medigraphic.com