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Movement of the upper cervical spine during laryngoscopy: a comparison of the Bonfils intubation fibrescope and the Macintosh laryngoscope.
Anaesthesia. 2005 Jul; 60(7):668-72.A

Abstract

The movements of the upper cervical spine were measured by fluoroscopy in 20 patients during laryngoscopy with the Bonfils intubation fibrescope and the Macintosh laryngoscope. Laryngoscopy with both the Bonfils intubation fibrescope and the Macintosh laryngoscope resulted in significant extension of the cervical spine as compared to the neutral position but this extension was significantly less with the Bonfils intubation fibrescope than with the Macintosh (p = 0.001). However, the atlanto-occipital distance was significantly greater during laryngoscopy with the Bonfils intubation fibrescope (p = 0.002), and the angle between the occiput and C1 differed significantly between the two techniques (p = 0.001). With the Bonfils intubation fibrescope, significantly less extension was also found at the C1/C2 and C3/C4 levels (p = 0.001 and p = 0.049, respectively). There is therefore significantly less movement of the upper cervical spine during laryngoscopy with the Bonfils fibrescope compared with the Macintosh laryngoscope.

Authors+Show Affiliations

Department of Anaesthesiology and Intensive Care Medicine, Leipzig University Hospital, Liebigstrasse 20, 04103 Leipzig, Germany. rudc@medizin.uni-leipzig.deNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

15960717

Citation

Rudolph, C, et al. "Movement of the Upper Cervical Spine During Laryngoscopy: a Comparison of the Bonfils Intubation Fibrescope and the Macintosh Laryngoscope." Anaesthesia, vol. 60, no. 7, 2005, pp. 668-72.
Rudolph C, Schneider JP, Wallenborn J, et al. Movement of the upper cervical spine during laryngoscopy: a comparison of the Bonfils intubation fibrescope and the Macintosh laryngoscope. Anaesthesia. 2005;60(7):668-72.
Rudolph, C., Schneider, J. P., Wallenborn, J., & Schaffranietz, L. (2005). Movement of the upper cervical spine during laryngoscopy: a comparison of the Bonfils intubation fibrescope and the Macintosh laryngoscope. Anaesthesia, 60(7), 668-72.
Rudolph C, et al. Movement of the Upper Cervical Spine During Laryngoscopy: a Comparison of the Bonfils Intubation Fibrescope and the Macintosh Laryngoscope. Anaesthesia. 2005;60(7):668-72. PubMed PMID: 15960717.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Movement of the upper cervical spine during laryngoscopy: a comparison of the Bonfils intubation fibrescope and the Macintosh laryngoscope. AU - Rudolph,C, AU - Schneider,J P, AU - Wallenborn,J, AU - Schaffranietz,L, PY - 2005/6/18/pubmed PY - 2005/7/26/medline PY - 2005/6/18/entrez SP - 668 EP - 72 JF - Anaesthesia JO - Anaesthesia VL - 60 IS - 7 N2 - The movements of the upper cervical spine were measured by fluoroscopy in 20 patients during laryngoscopy with the Bonfils intubation fibrescope and the Macintosh laryngoscope. Laryngoscopy with both the Bonfils intubation fibrescope and the Macintosh laryngoscope resulted in significant extension of the cervical spine as compared to the neutral position but this extension was significantly less with the Bonfils intubation fibrescope than with the Macintosh (p = 0.001). However, the atlanto-occipital distance was significantly greater during laryngoscopy with the Bonfils intubation fibrescope (p = 0.002), and the angle between the occiput and C1 differed significantly between the two techniques (p = 0.001). With the Bonfils intubation fibrescope, significantly less extension was also found at the C1/C2 and C3/C4 levels (p = 0.001 and p = 0.049, respectively). There is therefore significantly less movement of the upper cervical spine during laryngoscopy with the Bonfils fibrescope compared with the Macintosh laryngoscope. SN - 0003-2409 UR - https://www.unboundmedicine.com/medline/citation/15960717/Movement_of_the_upper_cervical_spine_during_laryngoscopy:_a_comparison_of_the_Bonfils_intubation_fibrescope_and_the_Macintosh_laryngoscope_ L2 - https://doi.org/10.1111/j.1365-2044.2005.04224.x DB - PRIME DP - Unbound Medicine ER -