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Indian Journal of Anesthesia and Analgesia

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Intubating Laryngeal Mask Airway Allows Tracheal Intubation When the Cervical Spine is Immobilized by a Rigid Collar

S. Gvalani* , S. Gvalani* , D. Pahwa**

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Indian Journal of Anesthesia and Analgesia 2(2):p 87-94, July - December 2015. | DOI: DOI: https://dx.doi.org/10.21088/ijaa.2349.8471.2215.4

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Abstract

In trauma patients, an unstable cervical spine can render intubation dangerous. Also, immobilization of the cervical spine may hinder intubation. We tested the hypothesis that the ILMA would allow tracheal intubation in the presence of a rigid collar. Methods: One hundred patients of ASA I & II were divided into two groups; the Collar group of 50 had a cervical collar in place whereas the Control group of 50 did not have a collar.Tracheal intubation was performed with the help of ILMA and the results were noted. Results: The ILMA allowed tracheal intubation in the presence of cervical collar without any significant differences in the success rate, the number of attempts, the intubation time, and the frequency of complications as compared to patient without a collar. 

Keywords: ILMA; Tracheal; Intubation; Cervical; Spine 

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DOI: DOI: https://dx.doi.org/10.21088/ijaa.2349.8471.2215.4

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