• Rev Esp Anestesiol Reanim · Jan 2014

    Review

    [Cervical spine instability: point of view of the anesthesiologist].

    • R Poveda Jaramillo, P Paredes Sanín, H Carvajal, R Carrasquilla, and M Murillo Deluquez.
    • Anestesiología & Reanimación, Universidad de Cartagena, Cartagena, Colombia. Electronic address: ricardopovedamd@yahoo.com.
    • Rev Esp Anestesiol Reanim. 2014 Jan 1; 61 (1): 28-34.

    AbstractThe experience in airway management permits the anesthesiologist to participate in cases of cervical spine instability in the operating room when the patient is subjected to surgical procedures, or in cases of difficulty to access or keep the airway open in emergencies. This article reviews the epidemiology, definition, etiology, diagnostic criteria, methods of approach to airway management, and current recommendations on handling cervical instability in different scenarios. There is no approach to the airway that ensures complete immobility of the cervical spine, but there are methods that are better adapted to specific contexts; at the end, the reader will be able to identify the virtues and defects of the various options that the anesthesiologists have to address the airway in cases of cervical instability. Copyright © 2012 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

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