Spinal Injuries Clinical Trial
Official title:
Comparison by Neuromonitoring of Two Techniques of Tracheal Intubation in Patients With Unstable Cervical Spine
Patients who present with an unstable cervical spine following an accident need a general
anesthesia for the necessary surgery.
Commonly, the management of the tracheal intubation is performed by a fiberoptic technique.
However, changes in equipment availability and quality may challenge the fiberoptic
intubation technique.
The investigators wish to compare the tracheal intubations performed with the Airtraq in
comparison with the fiberscopic technique.
Patients who present with an unstable cervical spine following an accident need a general
anesthesia for the necessary surgery.
Commonly, the management of the tracheal intubation is performed by a fiberoptic technique
(historic gold standard technique).
However, changes in equipment availability and quality may challenge the fiberoptic
intubation technique.
We wish to compare the tracheal intubations performed with the Airtraq in comparison with the
fiberscopic technique.
Primary outcomes will be the changes in neurophysiologic responses monitored by a
neurophysiologist in 5 specific phases:
1. Basal potential (BM): neuromonitoring while the patient is anesthetized, no movements
2. Ventilation potential (VM): neuromonitoring while the patient is anesthetized and a
bag-mask ventilation is performed
3. Intubation potential (IP): neuromonitoring while the patient is being intubated with one
of the two randomized devices
4. Post Intubation (PI): neuromonitoring after the patient has been intubated
5. Post Positioning (PP): neuromonitoring after the patient has been properly positioned on
the operating table and is ready for surgery
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