Fluoroscopic comparison of cervical spine motion using LMA CTrach, C-MAC videolaryngoscope and macintosh laryngoscope

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dc.authoridKamil Toker / 0000-0002-3168-0489
dc.authorscopusidKamil Toker / 6701531341
dc.authorwosidKamil Toker / AAX-3866-2020
dc.contributor.authorŞahin, Tulay
dc.contributor.authorArslan, Zehra İpek
dc.contributor.authorAkansel, Gür
dc.contributor.authorBalaban, Onur
dc.contributor.authorBerk, Derya
dc.contributor.authorSolak, Mine
dc.contributor.authorToker, Kamil
dc.date.accessioned2020-08-30T20:07:43Z
dc.date.available2020-08-30T20:07:43Z
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: Endotracheal intubation should be performed with care when cervical spine (C-spine) injury is suspected. The aim of this study was to evaluate the movement of the C-spine using fluoroscopy during intubation with Laryngeal Mask Airway (LMA) CTrach, C-MAC videolaryngoscope and Macintosh laryngoscope. Methods: This was a single-centre, prospective, observational, controlled trial. In total, 22 surgical patients aged 18-65 years planned to undergo operation under general anaesthesia, were enrolled. X-ray images of the C-spine were obtained using fluoroscopy with the patients' head in a neutral position. All patients underwent laryngoscopy using a Macintosh blade, LMA CTrach and C-MAC videolaryngoscope, and fluoroscopic images of the C-spine were obtained. All the patients were intubated at the last laryngoscopy simulation (using the C-MAC). The atlanto-occipital distance (AOD) and angles between C0C1, C0C2, C0C3, C0C4, C1C2 and C2C3 lines were measured and compared between each device. Results: The mean AOD was measured as 20.4 mm in a neutral position, which decreased to 13.1, 17.2 and 12.3 mm after the insertion of the Macintosh laryngoscope, LMA CTrach and C-MAC videolaryngoscope, respectively. The differences were significant (p < 0.001). Moreover, significant difference was noted in C0C2, C0C3 and C1C2 angles with the insertion of the three devices (p < 0.001). The LMA CTrach resulted in significantly lesser C-spine movements in C0C2, C0C3 and C0C4 angles compared to the Macintosh laryngoscope and C-MAC videolaryngoscope (p < 0.001). Conclusion: The LMA CTrach resulted in lesser C-spine movements compared to Macintosh laryngoscope and C-MAC videolaryngoscope. In case of the C-spine injury, LMA CTrach may be preferred and may cause fewer traumas during endotracheal intubation.en_US
dc.identifier.citationSahin, T., Arslan, Z. I., Akansel, G., Balaban, O., Berk, D., Solak, M., & Toker, K. (2018). Fluoroscopic Comparison of Cervical Spine Motion Using LMA CTrach, C-MAC Videolaryngoscope and Macintosh Laryngoscope. TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION, 46(1), 44–50. https://doi.org/10.5152/TJAR.2018.53367en_US
dc.identifier.doi10.5152/TJAR.2018.53367en_US
dc.identifier.endpage50en_US
dc.identifier.issn2149-0937en_US
dc.identifier.issn2149-276Xen_US
dc.identifier.issue1en_US
dc.identifier.pmid30140500en_US
dc.identifier.scopus2-s2.0-85043787284en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage44en_US
dc.identifier.trdizinid291817en_US
dc.identifier.urihttps://doi.org/10.5152/TJAR.2018.53367
dc.identifier.urihttps://hdl.handle.net/20.500.12713/817
dc.identifier.volume46en_US
dc.identifier.wosWOS:000431044000009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorToker, Kamilen_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal of Anaesthesiology and Reanimationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCervical Spine Motionen_US
dc.subjectLma C Trachen_US
dc.subjectVideolaryngoscopyen_US
dc.subjectFluoroscopyen_US
dc.titleFluoroscopic comparison of cervical spine motion using LMA CTrach, C-MAC videolaryngoscope and macintosh laryngoscopeen_US
dc.typeArticleen_US

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