Читать книгу Ottawa Anesthesia Primer - Patrick Sullivan - Страница 73

The fourth step of the test is to evaluate the mobility of the cervical spine. This is accomplished by asking the patient to flex and extend the neck. Patients should be able to perform this without discomfort. Disease of the C-spine (rheumatoid arthritis [RA], osteoarthritis [OA]), previous injury, or surgical fusion may limit neck extension, which may create difficulties during intubation attempts. This is certainly true if the atlantooccipital joint is involved, as restriction of this joint’s mobility may impair the ability to visualize the larynx.