الفهرس 
ANATOMY OF THE AIRWAYOnly 14 pages are availabe for public view
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Abstract
The potential for cervical spine injury makes airway management more
complex in the trauma patient. A cervical spine injury should be suspected in all
injury mechanisms involving blunt trauma. Cervical spinal injury occurs in 2% of
victims of blunt trauma. Cervical spine injury is often occult, and secondary injury
to the spinal cord must be avoided. Immobilization of the cervical spine has been
instituted until a complete clinical and radiological evaluation has excluded injury
as all airway interventions cause spinal movement. The urgency of airway
intubation is the most important factor in planning which technique of securing the
airway is the safest and most appropriate. Many anesthesiologists state a
preference for the fiberoptic bronchoscope to facilitate airway management,
although there is considerable, favorable experience with the direct laryngoscope
in cervical spinal injury patients. Direct laryngoscope with orotracheal intubation
with in-line immobilization, with or without pharmacologic adjuncts and muscle
relaxants represent the most effective method.