Anesthesia Technologist Practice Exam

For patients with cervical spine problems, what intubation technique is typically used?

1. Direct laryngoscopy

2. A wakeful fiberoptic intubation

3. Rapid sequence intubation

4. Blind nasal intubation

The correct answer is: A wakeful fiberoptic intubation

In cases involving patients with cervical spine issues, a wakeful fiberoptic intubation is often the preferred technique due to its minimally invasive nature and the ability to visualize the airway while maintaining patient stability. This technique allows for the careful maneuvering of the fiberoptic scope through the airway, ensuring that any potential movement of the cervical spine is minimized, which is crucial since these patients may have limited neck mobility or be at risk for further injury. Utilizing this method gives the anesthesiologist the opportunity to assess the airway anatomy in real-time and provides a higher degree of safety and control, which is particularly important in patients with potential airway difficulties or compromised cervical structures. The ability to perform this procedure with the patient awake can also help in monitoring their respiratory status and providing immediate feedback during the intubation process. Alternative techniques such as direct laryngoscopy may require more manipulation of the neck, which could exacerbate existing spine problems. Rapid sequence intubation is more suited for emergencies requiring swift airway management but may not be the best choice in this scenario where cervical stability is a concern. Blind nasal intubation involves inserting an endotracheal tube without direct visualization, which carries a higher risk of complications, especially in patients with known anatomical challenges