Atemwegsmanagement bei Verletzungen der Halswirbelsäule

Zusammenfassung

Das Atemwegsmanagement bei Trauma der Halswirbelsäule ist eine Herausforderung: Der vital bedrohte Patient soll eine suffiziente Immobilisation erhalten, wodurch aber die Atemwegssicherung erschwert wird. Der Beitrag thematisiert den Stellenwert von Immobilisierung und Atemwegssicherung in dieser zeitkritischen Situation, Vorteile und Fallstricke verschiedener Atemwegshilfsmittel sowie die pathoanatomischen und pathophysiologischen Hintergründe.

Abstract

Airway management in patients with proven or suspected trauma of the cervical spine poses a major challenge to the attending medical team: On one hand, the patient, life-threatened by hypoxia, should receive best possible immobilization of the spine during the whole procedure, but on the other hand, this hinders the performance securing the airway. With this contribution we provide an overview of the significance of immobilization and airway management in this time-critical situation as well as advantages and pitfalls of different airway devices, and pathoanatomical and pathophysiological backgrounds.

Schlüsselwörter

Atemwegsmanagement - Intubation - Halswirbelsäule - Rückenmarkverletzung - Verletzung - Traumamanagement

Key words

airway management - intubation - cervical spine - spinal cord injury - trauma management

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