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- W1505447143 abstract "In this issue of the Journal Meschino et al. report on their experiences in the management of patients with cervical spinal injury at Sunnybrook Health Centre in TorontoJ They demonstrate, quite clearly, that awake tracheal intubation in cervical spine-injured patients is not associated.with an increased incidence of secondary neurological injury. Four (2.4%) of the 165 patients who underwent awake tracheal intubation demonstrated worsening of their neurological condition between admission and discharge as assessed by changing neurological level or grade. This incidence of secondary injury was not different from that seen in 289 patients assessed during the same time period whose tracheas were not intubated. It is also comparable with the 1,3% incidence of secondary injury recently reported in the Journal by Suderman et al. from the University of Ottawa who evaluated the overall effect of intubation, anaesthesia and surgery on neurological function in a population of 150 patients with unstable cervical spines presenting for spinal stabilization. 2 In Suderman's group, the tracheas of 83 (55%) patients were intubated after induction of general anaesthesia and the incidence of secondary injury was the same as in the group of patients whose tracheas were intubated while they were awake. Reid reported the development of a secondary neurological deficit in 1.4% of 274 spine-injured patients who received care at the University of Alberta Hospital but did not specify a difference in the change in neurological status among those patients whose tracheas were intubated and those whose were not) Finally, these outcomes can be compared with a recently published report by the Cervical Spine Research Society which reviewed 5,356 major cervical spinal procedures and reported an overall incidence of neurological complications of 1.04%. 4 It should be noted that all elective spinal procedures were reviewed in this latter paper and that this may represent a population at somewhat lower risk for perioperative neurological" @default.
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- W1505447143 date "1992-02-01" @default.
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- W1505447143 title "Tracheal intubation in the cervical spine-injured patient" @default.
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- W1505447143 doi "https://doi.org/10.1007/bf03008637" @default.
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