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Airway Crisis Associated with Cervical Spine Surgery

  • Edward Crosby
Chapter

Abstract

Airway problems most commonly arise during anesthesia for cervical spinal surgery either due to the impact of the underlying spinal pathology which increases the likelihood of difficult airway or as a consequence of soft tissue swelling which results from prolonged surgery and prone positioning which lead to acute airway compromise postoperatively. Although less common, intraoperative difficulties may also arise and are typically related to endotracheal tube migration or kinking resulting from surgical positioning.

Keywords

Anatomy: cervical spine Complications: intubation Intubation, tracheal: complications, difficult, technique Surgery: orthopedic, spinal, cervical spine 

Suggested Reading

Preoperative Assessment and Management of the Airway

  1. Manninen PH, Jose GB, Lukitto K, Venkatraghavan L, El Beheiry H. Management of the airway in patients undergoing cervical spine injury. J Neurosurg Anesthesiol. 2007;19:190–4.CrossRefGoogle Scholar
  2. Mashour GA, Stallmer ML, Kheterpal S, Shanks A. Predictors of difficult intubation in patients with cervical spine limitations. J Neurosurg Anesthesiol. 2008;20:110–5.CrossRefGoogle Scholar

Postoperative Respiratory Complications

  1. Sagi HC, Beutler W, Carroll E, Connolly PJ. Airway complications associated with surgery on the anterior cervical spine. Spine. 2002;27:949–53.CrossRefGoogle Scholar
  2. Palumbo MA, Aidlen JP, Daniels AH, Bianco A, Caiati JM. Airway compromise due to laryngopharyngeal edema after anterior cervical spine surgery. J Clin Anesth. 2013;25:66–72.CrossRefGoogle Scholar

Management of Postoperative Respiratory Complications

  1. Combes X, Dumerat M, Dhonneur G. Emergency gum elastic bougie-assisted tracheal intubation in four patients with upper airway distortion. Can J Anesth. 2004;51:1022–4.CrossRefGoogle Scholar
  2. Shakespeare WA, Lanier WL, Perkins WJ, Paternak JJ. Airway management in patients who develop neck hematomas after carotid endarterectomy. Anesth Analg. 2010;110:588–93.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Edward Crosby
    • 1
  1. 1.Department of AnesthesiologyUniversity of Ottawa and Ottowa Hospital, General CampusOttawaCanada

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