• A & A case reports · Jul 2015

    Case Reports

    Lateral Cervical Spine Radiography to Demonstrate Absence of Bony Displacement After Intubation in a Patient with an Acute Type III Odontoid Fracture.

    • David D Easker, Bruno A Policeni, and Bradley J Hindman.
    • From the *Department of Anesthesia, The University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa; and †Division of Neuroradiology, Department of Radiology, The University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa.
    • A A Case Rep. 2015 Jul 15;5(2):25-8.

    AbstractA 72-year-old patient with an acute traumatic Type III odontoid fracture presented to the operating room for an urgent orthopedic procedure with a history of uncontrolled gastroesophageal reflux, a full stomach, and active vomiting. Rather than fiberoptic intubation, a rapid sequence intubation with manual inline stabilization was performed using a videolaryngoscope. A lateral cervical spine radiograph immediately after intubation showed no change in alignment of the fracture of C1-C2. In the presence of cervical spine instability, a postintubation radiograph provides assurance that the cervical spine is appropriately aligned during subsequent surgery.

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