D. M. Wong, A. Prabhu, S. Chakraborty, G. Tan, E. M. Massicotte, R

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Presentation transcript:

Cervical spine motion during flexible bronchoscopy compared with the Lo-Pro GlideScope® D.M. Wong, A. Prabhu, S. Chakraborty, G. Tan, E.M. Massicotte, R. Cooper British Journal of Anaesthesia Volume 102, Issue 3, Pages 424-430 (March 2009) DOI: 10.1093/bja/aep002 Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 1 The protocol was slightly more complicated for patients randomized to FB intubations. Measurements are shown in italics. British Journal of Anaesthesia 2009 102, 424-430DOI: (10.1093/bja/aep002) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 2 Lines intersecting through occiput, C1, C2, C4, and C5. Baseline angles (a) are compared with maximum movement during intubation (b) to determine maximum change in angulation. The relative change in angles rather than the absolute angles were taken as primary endpoints. A, The line extending from the posterior margin of the hard palate to the opisthion (occiput). B, C1 level defined by a line joining the inferior margins of anterior and posterior arches of atlas. C, C2 level defined by a line joining the antero-inferior margin of C2 vertebral body with anterior point of the C2 spinous process. D, C4 level defined by a line joining the antero-inferior margin of C4 vertebral body with anterior point of the C4 spinous process. E, C5 level defined by a line joining the antero-inferior margin of C5 vertebral body with anterior point of the C5 spinous process. British Journal of Anaesthesia 2009 102, 424-430DOI: (10.1093/bja/aep002) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 3 Maximum change in angulation during intubation. *P<0.05, **P<0.01, mean (sd) shown. British Journal of Anaesthesia 2009 102, 424-430DOI: (10.1093/bja/aep002) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 4 Inter-observer variability. *P<0.05, **P<0.01, mean (sd) shown. British Journal of Anaesthesia 2009 102, 424-430DOI: (10.1093/bja/aep002) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 5 Cervical movement associated with tongue pull during FB intubation (measured by radiologist). *P<0.05, mean (sd) shown. Maximal change during intubation refers to the period after application of pharyngeal opening manoeuvres. British Journal of Anaesthesia 2009 102, 424-430DOI: (10.1093/bja/aep002) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 6 Cervical movement from a jaw thrust during FBI measured by (a) radiologist and (b) surgeon. *P<0.05, **P<0.01, mean (sd) shown. Maximal change during intubation refers to the period after application of pharyngeal opening manoeuvres. British Journal of Anaesthesia 2009 102, 424-430DOI: (10.1093/bja/aep002) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions