TY  - CHAP
M1  - Book, Section
TI  - Management of Extubation of a Patient with an “Impossible Airway” Following Cervical Spine Fusion
A1  - Panzarasa, Jade
A1  - Wong, Michael J.
A2  - Hung, Orlando R.
A2  - Murphy, Michael F.
PY  - 2024
T2  - Hung’s Management of the Difficult and Failed Airway, 4<sup>th</sup> Edition
AB  - A  75-year-old  man  with  ankylosing  spondylitis  and  previous  C2–T12  spinal  fusion  presented  with  a  C4–C5  chance  fracture  after  a  fall  (Figure  31.1).  While  neurologically  intact,  this  unstable  fracture  required  emergency  fixation.  He  had  a  predicted  difficult  airway  due  to  severe  fixed  kyphosis  with  his  chin  approximating  his  chest  and  was  Mallampati  IV  on  inspection.  Awake  orotracheal  intubation  using  flexible  bronchoscope  was  performed  with  difficulty  due  to  marked  cervical  kyphosis  but  was  successful  after  several  attempts.  Spinal  stabilization  surgery  in  prone  position  was  uneventful.  Postoperatively,  he  was  transferred  to  the  intensive  care  unit  (ICU),  intubated  and  sedated,  to  permit  careful  extubation  planning.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/09/13
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1202477106
ER  -