지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.5 No.1
- 발행연도
- 2018.1
- 수록면
- 22 - 28 (7page)
이용수
초록· 키워드
오류제보하기
Objective Endotracheal intubation is extremely difficult to perform in patients wearing a cervical collar for a head and neck injury. Therefore, we analyzed actual measurements using the look externally, evaluate 3-3-2, Mallampati score, obstruction, and neck mobility (LEMON) criteria before and after cervical collar application to investigate the causes of a difficult airway. Methods This simulation study was performed in 76 healthy volunteers. We measured the mouth opening, modified Mallampati classification, and neck extension before and after cervical collar application. Results The mean inter-incisor distance significantly decreased from 4.3 to 2.6 cm (P<0.001). Fifty-seven participants classified as I and II were newly classified as III and IV according to the modified Mallampati classification after cervical collar application (16% to 91%). The angles of neck extension significantly decreased from 44° to 22° after cervical collar application (P<0.001). Before cervical collar application, our simulations predicted that 14 of 76 participants (18%) would have a difficult airway, whereas after cervical collar application, 76 of 76 (100%) were predicted to have a difficult airway. Conclusion All values for the LEMON criteria (mouth opening, modified Mallampati classification, and neck extension) worsened significantly after cervical collar application. Additionally, a difficult airway was predicted in all participants after cervical collar application.
목차
등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
ATLS Subcommittee / 2013 / Advanced trauma life support (ATLS): the ninth edition / J Trauma Acute Care Surg 74:1363~1366
Holley J / 1989 / Airway management in patients with unstable cervical spine fractures / Ann Emerg Med 18:1237~1239
Hills MW / 1993 / Head injury and facial injury: is there an increased risk of cervical spine injury / J Trauma 34:549~553
American Society of Anesthesiologists Task Force on Management of the Difficult Airway / 2003 / Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway / Anesthesiology 98:1269~1277
Kim JW / 2016 / Efficacy of various types of laryngoscope (direct, Pentax Airway Scope and GlideScope) for endotracheal intubation in various cervical immobilisation scenarios: a randomised cross-over simulation study / BMJ Open 6:e011089
Holley J / 1989 / Airway management in patients with unstable cervical spine fractures / Ann Emerg Med 18:1237~1239
Hills MW / 1993 / Head injury and facial injury: is there an increased risk of cervical spine injury / J Trauma 34:549~553
American Society of Anesthesiologists Task Force on Management of the Difficult Airway / 2003 / Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway / Anesthesiology 98:1269~1277
Kim JW / 2016 / Efficacy of various types of laryngoscope (direct, Pentax Airway Scope and GlideScope) for endotracheal intubation in various cervical immobilisation scenarios: a randomised cross-over simulation study / BMJ Open 6:e011089
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