Acta Clin Croat, 2023 · DOI: 10.20471/acc.2023.62.s1.19 · Published: January 1, 2023
The case report discusses airway management in a patient with SCIWOCTET undergoing cervical spine surgery. SCIWOCTET is a cervical spine injury with myelopathy but without fracture or ligament injury seen on initial imaging. The primary concern during anesthesia is minimizing head and neck movement to prevent further spinal cord injury. The report highlights the use of a rigid bronchoscope with manual in-line immobilization (MILI) for intubation. The authors suggest that rigid bronchoscopy with MILI is a suitable method for airway management in patients with cervical spine injuries.
Rigid bronchoscopy with MILI can be considered a viable option for airway management in patients with cervical spine injuries or instability.
Healthcare professionals involved in airway management should be trained in the use of rigid bronchoscopes and manual in-line immobilization techniques.
Hospitals and emergency departments should ensure the availability of rigid bronchoscopes and other necessary equipment for managing airways in patients with potential cervical spine injuries.