Intubación traqueal en paciente con luxofractura cervical inestable.

Authors

  • Patricio Mardonez A. Hospital Clínico Universidad de Chile. Departamento de Anestesiología y Reanimación.
  • Carmen Águila M. Hospital Clínico Universidad de Chile. Departamento de Anestesiología y Reanimación.
  • Melchor Lemp M. Hospital Clínico Universidad de Chile. Departamento de Neurología- Neurocirugía.
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Abstract

The cervical luxofractures may be associated with a variable spinal cord ínjury or may threat its function. The cervical protection is enfatized during the management of the airway, in acute politraumatized patients, with no evidences of cervical fracture or spinal cord damage. In cases of known unstable fractures, where surgical fixation is needed, the airway management and knowlegde of alternatives to tracheal intubation are important. A clínical case, with C5 luxofracture and partial spinal cord damage, that was operated through an anterior cervical approach is presented. The airway management, the diferent technics of tracheal intubation, the use of vigil intubation and with fibrobroncoscopy, specially in cases with traction or immobilization devices are also analyzed.

Keywords:

Intubación Intratraqueal/métodos , Traumatismos del Cuello/terapia , Obstrucción de las Vías Aéreas/terapia , Traumatismos del Cuello/complicaciones , Traumatismos del Cuello/diagnóstico , Traumatismos del Cuello/cirugía