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Updated: Dec 8, 2025

The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
C-arm fluoroscopy for tracheal intubation in a patient with severe cervical spine pathology
Yukihide Koyama1, Koichi Tsuzaki1, Kazuo Ohmori2
1Department of Anesthesia, Nippon Koukan Hospital, Kawasaki, Japan.
Abstract:
Tracheal intubation is challenging in patients with severe cervical spine pathology. In such cases, awake fiberoptic intubation is the gold standard and safest option for tracheal intubation. However, this technique requires the patient's understanding and cooperation, and therefore, may be contraindicated in patients with refusal or poor tolerance. Herein, we report successful orotracheal intubation in a patient with limited mouth opening and severe cervical spine rigidity under general anesthesia using an extraglottic airway device and a gum-elastic bougie under C-arm fluoroscopic guidance.
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