[en] In this paper, the authors review the most recent literature concerning the management of the cervical spine in trauma patients. They address the main topics of concern for the anaesthesiologist including pre-hospital care, clearance of the cervical spine, neuroprotective therapies, difficult tracheal intubation, and management during general anaesthesia, in the intensive care unit and in paediatric patients. The most widely accepted strategies are provided as well as alternative options.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Bonhomme, Vincent ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Hartstein, Gary ; Centre Hospitalier Universitaire de Liège - CHU > Urgences
Hans, Pol ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation
Language :
English
Title :
The Cervical Spine in Trauma: Implications for the Anaesthesiologist
Agro, F., Hung, O.R., Cataldo, R., Carassiti, M., Gherardi, S., Lightwand intubation using the Trachlight: A brief review of current knowledge (2001) Can. J. Anaesth., 48 (6), pp. 592-599
Albanese, J., Bonhomme, V., Hans, P., Les agents anesthésiques hypnotiques, les opiaces et les myorelaxants en neuroanesthesie (2004) Le Patient Neurochirurgical, 1 Edn., pp. 33-58. , Ravussin P., Paris, Springer
Blood pressure management after acute spinal cord injury (2002) Neurosurgery, 50 (3), pp. S58-S62
Deep venous thrombosis and thromboembolism in patients with cervical spinal cord injuries (2002) Neurosurgery, 50 (3), pp. S73-S80
Initial closed reduction of cervical spine fracture-dislocation injuries (2002) Neurosurgery, 50 (3), pp. S44-S50
Management of acute central cervical spinal cord injuries (2002) Neurosurgery, 50 (3), pp. 8166-8172
Management of acute spinal cord injuries in an intensive care unit or other monitored setting (2002) Neurosurgery, 50 (3), pp. S51-S57
Management of pediatric cervical spine and spinal cord injuries (2002) Neurosurgery, 50 (3), pp. S85-S99
Nutritional support after spinal cord injury (2002) Neurosurgery, 50 (3), pp. S81-S84
Pharmacological therapy after acute cervical spinal cord injury (2002) Neurosurgery, 50 (3), pp. S63-S72
Bracken, M.B., Shepard, M.J., Collins, W.F., Holford, T.R., Young, W., Baskin, D.S., Eisenberg, H.M., Maroon, J., A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal-cord injury. Results of the Second National Acute Spinal Cord Injury Study (1990) N. Engl. J. Med., 322 (20), pp. 1405-1411
Bracken, M.B., Shepard, M.J., Holford, T.R., Leo-Summers, L., Aldrich, E.P., Fazl, M., Fehlings, M., Young, W., Administration of methylprednisolone for 24 or 48 hours or tirilazad mesylate for 48 hours in the treatment of acute spinal cord injury. Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial. National Acute Spinal Cord Injury Study (1997) JAMA, 277 (20), pp. 1597-1604
Chang, C.H., Holmes, J.F., Mower, W.R., Panacek, E.A., Distracting injuries in patients with vertebral injuries (2005) J. Emerg. Med., 28 (2), pp. 147-152
Choi, S.J., Shin, M.J., Kim, S.M., Bae, S.J., Non-contiguous spinal injury in cervical spinal trauma: Evaluation with cervical spine MRI (2004) Korean J. Radiol., 5 (4), pp. 219-224
Davis, L., Cook-Sather, S.D., Schreiner, M.S., Lighted stylet tracheal intubation: A review (2000) Anesth. Analg., 90 (3), pp. 745-756
Deroy, R., Ghoris, M., The Combitube elective anesthetic airway management in a patient with cervical spine fracture (1998) Anesth. Analg., 87 (6), pp. 1441-1442
Gabbott, D.A., The effect of single-handed cricoid pressure on neck movement after applying manual in-line stabilisation (1997) Anaesthesia, 52 (6), pp. 586-588
Gill, M., Madden, M.J., Green, S.M., Retrograde endotracheal intubation: An investigation of indications, complications, and patient outcomes (2005) Am. J. Emerg. Med., 23 (2), pp. 123-126
Guest, J.D., Vanni, S., Silbert, L., Mild hypothermia, blood loss and complications in elective spinal surgery (2004) Spine J., 4 (2), pp. 130-137
Holly, L.T., Kelly, D.F., Counelis, G.J., Blinman, T., McArthur, D.L., Cryer, H.G., Cervical spine trauma associated with moderate and severe head injury: Incidence, risk factors, and injury characteristics (2002) J. Neurosurg., 96 (3 SUPPL.), pp. 285-291
Kihara, S., Yaguchi, Y., Taguchi, N., Brimacombe, J.R., Watanabe, S., The StyletScope is a better intubation tool than a conventional stylet during simulated cervical spine immobilization (2005) Can. J. Anaesth., 52 (1), pp. 105-110
Lammertse, D.P., Update on pharmaceutical trials in acute spinal cord injury (2004) J. Spinal Cord. Med., 27 (4), pp. 319-325
Langeren, O., Riou, B., Lambert, Y., Viars, P., Tracheal intubation in patients with cervical spine injuries using a fiber optic laryngoscope (1992) Ann. Fr. Anesth. Reanim., 11 (3), pp. 388-391
Liang, H.W., Wang, Y.H., Lin, Y.N., Wang, J.D., Jang, Y., Impact of age on the injury pattern and survival of people with cervical cord injuries (2001) Spinal Cord., 39 (7), pp. 375-380
Liberman, M., Farooki, N., Lavoie, A., Mulder, D.S., Sampalis, J.S., Clinical evaluation of the spine in the intoxicated blunt trauma patient (2005) Injury, 36 (4), pp. 519-525
Lynham, A.J., Hirst, J.P., Cosson, J.A., Chapman, P.J., McEniery, P., Emergency department management of maxillofacial trauma (2004) Emerg. Med. Australas., 16 (1), pp. 7-12
Magorian, T., Flannery, K.B., Miller, R.D., Comparison of rocuronium, succinylcholine, and vecuronium for rapid-sequence induction of anesthesia in adult patients (1993) Anesthesiology, 79 (5), pp. 913-918
McKinley, W., Meade, M.A., Kirshblum, S., Barnard, B., Outcomes of early surgical management versus late or no surgical intervention after acute spinal cord injury (2004) Arch. Phys. Med. Rehabil., 85 (11), pp. 1818-1825
Molano, M.R., Broton, J.G., Bean, J.A., Calancie, B., Complications associated with the prophylactic use of methylprednisolone during surgical stabilization after spinal cord injury (2002) J. Neurosurg., 96 (3 SUPPL.), pp. 267-272
Morris, C.G., Mullan, B., Clearing the cervical spine after polytrauma: Implementing unified management for unconscious victims in the intensive care unit (2004) Anaesthesia, 59 (8), pp. 755-761
Mower, W.R., Hoffman, J.R., Pollack Jr., C.V., Zucker, M.I., Browne, B.J., Wolfson, A.B., Use of plain radiography to screen for cervical spine injuries (2001) Ann. Emerg. Med., 38 (1), pp. 1-7
Qian, T., Guo, X., Levi, A.D., Vanni, S., Shebert, R.T., Sipski, M.L., High-dose methylprednisolone may cause myopathy in acute spinal cord injury patients (2005) Spinal Cord., 43 (4), pp. 199-203
Schuttler, J., Zsigmond, E.K., White, P.F., Ketamine and its isomers (1997) Textbook of Intravenous Anesthesia, 171. , White P. F., Baltimore, Williams and Wilkins
Sener, E.B., Sarihasan, B., Ustun, E., Kocamanoglu, S., Kelsaka, E., Tur, A., Awake tracheal intubation through the intubating laryngeal mask airway in a patient with halo traction (2002) Can. J. Anaesth., 49 (6), pp. 610-613
Stevens, R.D., Bhardwaj, A., Kirsch, J.R., Mirski, M.A., Critical care and perioperative management in traumatic spinal cord injury (2003) J. Neurosurg. Anesthesiol., 15 (3), pp. 215-229
Tentillier, E., Ammirati, C., Prehospital management of patients with severe head injuries (2000) Ann. Fr. Anesth. Reanim., 19 (4), pp. 275-281
Tsai, E.C., Tator, C.H., Neuroprotection and regeneration strategies for spinal cord repair (2005) Curr. Pharm. Des., 11 (10), pp. 1211-1222
Vale, F.L., Burns, J., Jackson, A.B., Hadley, M.N., Combined medical and surgical treatment after acute spinal cord injury: Results of a prospective pilot study to assess the merits of aggressive medical resuscitation and blood pressure management (1997) J. Neurosurg., 87 (2), pp. 239-246
Wang, L.M., Yan, Y., Zou, L.J., Jing, N.H., Xu, Z.Y., Moderate hypothermia prevents neural cell apoptosis following spinal cord ischemia in rabbits (2005) Cell Res., 15 (5), pp. 387-393
Wong, J.K., Tongier, W.K., Armbruster, S.C., White, P.F., Use of the intubating laryngeal mask airway to facilitate awake orotracheal intubation in patients with cervical spine disorders (1999) J. Clin. Anesth., 11 (4), pp. 346-348
Wong, S.Y., Wong, K.M., Chao, A.S., Liang, C.C., Hsu, J.C., Awake fiberoptic intubation for cesarean section in a parturient with odontoid fracture and atlantoaxial subluxation (2003) Chang Gung. Med.J., 26 (5), pp. 352-356
Yentis, S.M., The effects of single-handed and bimanual cricoid pressure on the view at laryngoscopy (1997) Anaesthesia, 52 (4), pp. 332-335
