Empleo del videolaringoscopio VALOR en pacientes con patologías de la columna cervical
Keywords:
airway management, intratracheal intubation, laryngoscopy, laryngoscopes, spine cord, cervical cord.Abstract
Introduction: Patients with cervical spine diseases present higher risk during tracheal intubation, since the traction force or movement generated during laryngoscopy may injure neuroaxial structures.
Objective: To characterize tracheal intubation with the VALOR videolaryngoscope in surgical patients with cervical spine diseases.
Methods: The VALOR videolaryngoscope was used in surgical patients with cervical spine diseases, from the pilot study within the institutional project VALOR (Videolaringoscopio ArtesanaL para entOrnos de Recursos limitados, the Spanish for artisanal videolaryngoscope for limited resources settings), carried out in the anesthesiology and resuscitation service of Complejo Científico Ortopédico Internacional Frank País from September 2022 to January 2024.
Results: Tracheal intubation was effective in all patients (n = 20), in an average time of 54 seconds. 85 % required a single intubation attempt, with an adequate view of the glottis. Adverse events included reflex tachycardia (35 %) and mild pharyngeal trauma (5 %), with no perioperative implications. External laryngeal manipulation maneuvers (95 %), use of bougie (100 %), indirect epiglottis elevation (70 %) and preference for hyperangulated blade (80 %) predominated.
Conclusions: The use of the VALOR videolaryngoscope allowed effective tracheal intubation in patients with cervical spine diseases, in a short time, with optimal endoscopic visualization and a low incidence of adverse events.
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References
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