Randomized cross-over comparison of cervical-spine motion with the AirWay Scope or Macintosh laryngoscope with in-line stabilization: a video-fluoroscopic.

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Presentation transcript:

Randomized cross-over comparison of cervical-spine motion with the AirWay Scope or Macintosh laryngoscope with in-line stabilization: a video-fluoroscopic study K. Maruyama, T. Yamada, R. Kawakami, K. Hara British Journal of Anaesthesia Volume 101, Issue 4, Pages 563-567 (October 2008) DOI: 10.1093/bja/aen207 Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

Fig 1 Photograph of the AWS®. A disposable polycarbonate introducer (INTLOCK®) is attached to the main unit, and the tracheal tube is placed in the side channel of the INTLOCK®. British Journal of Anaesthesia 2008 101, 563-567DOI: (10.1093/bja/aen207) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

Fig 2 Vertebral reference lines. The reference line for the occiput was the McGregor line, which joins the most dorsal and caudal parts of the occiput to the posterior hard palate. The reference line for the cervical segment C1 was an imaginary line running between the lower cortical margin of the anterior arch and the posterior arch. The reference lines for cervical segments C2–C4 were imaginary lines running between the anterior, inferior margin of the respective vertebral bodies and the lower cortical margin of the respective vertebral bodies and the lower cortical margin of the respective spinous processes. The AWS is in situ. British Journal of Anaesthesia 2008 101, 563-567DOI: (10.1093/bja/aen207) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

Fig 3 Cumulative movement of the upper cervical spine during T1 and T2. T1, time from mouth opening with the cross-finger manoeuvre to insertion of the AWS or Macintosh laryngoscope. T2, time from laryngoscopy to intubation. *P<0.01 vs AWS group. British Journal of Anaesthesia 2008 101, 563-567DOI: (10.1093/bja/aen207) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions