Manual inline stabilization technique

Given that direct laryngoscopy (DL) can cause motion of the cervical spine in normal or uninjured patients, the technique has been suggested, but not proven, to cause or exacerbate C-spine injury in patients with unstable C-spines. Manual in-line stabilization (MILS) of the C-spine is recommended to mitigate this possibility. Despite the presumed safety and efficacy of direct laryngoscopy with manual in-line stabilization, alternative techniques that do not require direct visualization warrant investigation. Promising techniques include intubation through supraglottic airways, along with video laryngoscopes, optical stylets, and other imaging devices. manual stabilization technique 7 Aug 2009 Previous studies of the effect of manual in-line stabilization of the cervical spine on direct laryngoscopy have relied on surrogate markers of Manual In-Line Stabilisation (MILS) provides a degree of stability to the cervical spine prior to the application of a cervical collar. With the 5-person LS, 1 person maintained manual, inline stabilization of the head; 2 lifted the upper torso; 1 lifted the hips and pelvis; and 1 lifted the knees and lower extremities (Figure (Figure3 3). 9 With this technique, participants responsible for lifting the upper torso kneeled by the transfer subject's shoulder and placed 1 hand Manual inline stabilization is a maneuver in which the care provider is standing at the patient's head, using the palms of both hands to grip the sides of the patients' head, which is reportedly a safe technique to perform during intubation. Direct laryngoscopy with manual in-line stabilization is standard of care for acute trauma patients with suspected cervical spine injury. Ethical and methodologic constraints preclude controlled We thank both Dr. Loane and colleagues, and Drs. Hastings and Delson for their thoughtful comments regarding our study of manual in-line stabilization (MILS).1Loane et al. criticize our study on two levels. Because we did not allow the use of intubation aids, such as a stylet, bougie, or external laryngeal manipulation, Loane et al. suggest that our findings have little clinical relevance One rescuer maintains manual inline stabilization of the head, while another one is responsible for positioning the spine board. At least two people are positioned on the same side of the patient to perform the roll. Effectiveness of cervical spine stabilization techniques. Clin J Sport Med. 2011. 21: 80-8. 5. Conrad BP, Horodyski M, Wright during the 1980s and 1990s, direct laryngoscopy and orotracheal intubation with manual in-line stabilization became standard of care. 5 the practice remains standard because alternative techniques were reported to be more complex, to be less effective, or to have had problems that require further investigation. 6, 7, 8 like many established … A three-dimensional electromagnetic tracking system was used to assess motion between C5 and C6. The log roll was compared with a lift-and-slide technique. Throughout the log roll procedure, manual inline cervical stabilization was provided by a trained individual in a series of trials. In other trials, the lift-and-slide technique was used.