The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Orotracheal intubation in patients with potential cervical spine injuries: An indication for the gum elastic bougie
Abstract
Summary: The conditions for emergency tracheal intubation of patients with cervical spine injury were simulated in 157 patients during induction of anaesthesia for routine surgery. The view of the larynx obtained during laryngoscopy with the head in the optimum intubating position was compared with that obtained when manual in‐line stabilisation of the cervical spine and cricoid pressure were used. During laryngoscopy with cervical stabilisation, the view of the larynx was reduced in 45% of patients, and in 22% of patients nothing was visible beyond the epiglottis. To assess the ease of intubation with the neck stabilised and with cricoid pressure applied, patients were randomised to either direct visual intubation (n = 79), or intubation aided by a gum elastic bougie (n = 78). The median time taken for visual intubation was 20 s, but in six patients intubation took over 45 s. In addition, five patients in this group could not be directly intubated. Using the gum elastic bougie all patients, including the failures from the visual group, were intubated within 45 s (median 25 s). We recommend the gum elastic bougie as an aid to intubating the patient with suspected cervical spine injury, particularly when the glottis is not immediately visible.
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Cites
Difficult tracheal intubation in obstetrics
CORMACK, R. S., & LEHANE, J. (1984) · Anaesthesia · doi:10.1111/j.1365-2044.1984.tb08932.x · Cited by 2,471
Cervical spine movement during orotracheal intubation
Majernick, T. G., Bieniek, R., Houston, J. B., & Hughes, H. G. (1986) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(86)80178-0 · Cited by 208
The adult cervical spine: implications for airway management
Crosby, E. T., & Lui, A. (1990) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/bf03007488 · Cited by 166
Bivins, H. G., Ford, S. D., Bezmalinovic, Z., Price, H. M., & Williams, J. L. (1988) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(88)80498-0 · Cited by 132
Airway Management for Trauma Patients With Potential Cervical Spine Injuries
Hastings, R. H., & Marks, J. D. (1991) · Anesthesia & Analgesia · doi:10.1213/00000539-199110000-00019 · Cited by 131
Elective oral tracheal intubation in cervical spine-injured adults
Suderman, V. S., Crosby, E. T., & Lui, A. C. P. (1991) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/bf03008461 · Cited by 109
Appropriate Techniques for Airway Management of Emergency Patients with Suspected Spinal Cord Injury
Grande, C. M., Barton, C. R., & Stene, J. K. (1988) · Anesthesia & Analgesia · doi:10.1213/00000539-198807000-00025 · Cited by 89
The safety of awake tracheal intubation in cervical spine injury
Meschino, A., Devitt, J. H., Koch, J.-P., Szalai, J. P., & Schwartz, M. L. (1992) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/bf03008639 · Cited by 86
Tracheal intubation in the cervical spine-injured patient
Crosby, E. T. (1992) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/bf03008637 · Cited by 45
Cited by
The unanticipated difficult airway with recommendations for management
Crosby, E. T., Cooper, R. M., Douglas, M. J., Doyle, D. J., Hung, O. R., Labrecque, P., Muir, H., Murphy, M. F., Preston, R. P., Rose, D. K., et al. (1998) · Canadian Journal of Anaesthesia · doi:10.1007/bf03012147 · Cited by 615
Advanced Trauma Life Support, 8th Edition, The Evidence for Change
Kortbeek, J. B., Al Turki, S. A., Ali, J., Antoine, J. A., Bouillon, B., Brasel, K., Brenneman, F., Brink, P. R., Brohi, K., Burris, D., et al. (2008) · Journal of Trauma: Injury, Infection & Critical Care · doi:10.1097/ta.0b013e3181744b03 · Cited by 435
Airway management in adults after cervical spine trauma
Crosby, E. T., & Warltier, D. C. (2006) · Anesthesiology · doi:10.1097/00000542-200606000-00026 · Cited by 401
for the Canadian Airway Focus Group, Law, J. A., Broemling, N., Cooper, R. M., Drolet, P., Duggan, L. V., Griesdale, D. E., Hung, O. R., Jones, P. M., Kovacs, G., et al. (2013) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/s12630-013-0019-3 · Cited by 358
Driver, B. E., Prekker, M. E., Klein, L. R., Reardon, R. F., Miner, J. R., Fagerstrom, E. T., Cleghorn, M. R., McGill, J. W., & Cole, J. B. (2018) · JAMA · doi:10.1001/jama.2018.6496 · Cited by 313
Metadata
- Authors
- Nolan, J. P., & Wilson, M. E.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 1993-07
- Volume
- 48
- Issue
- 7
- Pages
- 630-633
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W1592409514
- Cited by
- 271
- References
- 9
- FWCI
- 6.65
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Orotracheal intubation in patients with potential cervical spine injuries: An indication for the gum elastic bougie. https://app.cochat.ai/papers/10.1111/j.1365-2044.1993.tb07133.x
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- Nolan, J. P., & Wilson, M. E. (1993). Orotracheal intubation in patients with potential cervical spine injuries: An indication for the gum elastic bougie. Anaesthesia. https://doi.org/10.1111/j.1365-2044.1993.tb07133.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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