Re: MedicAlert pendants

[Guest guest]

In a message dated 8/1/99 12:11:19 AM Eastern Daylight Time,

mcnjc@... writes:

> no hyper extending of the neck and caution when

> intubating... '

I guess both of these things actually relate to one another. If you are

intubating someone, the neck is being hyperextended. I'm hoping that someone

else will chime in on this as far as why the hyperextending is not good and

do a better job of explaining it than I would do.

Tory ('s mom)

[Guest guest]

Hi Tory & everyone else

in your post you said

'...What I specified to the person as far as Chiari was concerned was - special

care to the cervical area, no hyper extending of the neck and caution when

intubating... '

Does chiari mean they might have trouble intubating someone? i'm asking because

i've only had surgery a few times in my life, thankfully...tonsils, appendix,

d & c. but the last time when i had a hysterectomy...6 years ago...they had a

REALLY hard time intubating me. said i had extremely narrow throat & gave me a

card to carry around indicating care be taken when intubating. no one had ever

said anything about a problem in earlier surgeries.

just curious if others have had similar problem?

June (aka CJ) in CA *:^ > dx of POTS, working on getting neuro to re-evaluate

mri's for acm.

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> ------------------------------------------------------------------------

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[Guest guest]

> I guess both of these things actually relate to one another. If you

are

> intubating someone, the neck is being hyperextended. I'm hoping that

someone

> else will chime in on this as far as why the hyperextending is not

good and

> do a better job of explaining it than I would do.

Hyperextending the neck and intubating puts additional pressure on

the area of the chiari malformation. In general, this isn't good as it

could cause problems (significantly increased symptoms) just like any

trauma event to the head or upper body. Trauma to the cerebral tonsils

results in inflammation, which means incraesed CFS blockage, pressure

on the brainstem (= symptoms).

Chip

[Guest guest]

In my last surgery, May, 1999, for removal of more malignant melanoma, the

anethetist (or whatchamacallit) did not intubate me because of my fusion -

ugh what a drag. I have not been in a situation following the chiari

(except for fusion) that required intubation, but it's something definitely

that docs want to know about.

Just my two cents again,

Jen

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>

>It's not that a ACM person can't be intubated, just that caution needs to

>be

>used when this is being done because they hyperextend your neck.

>

>Tory ('s mom)

>

>17ys. old, craniofacial abnormalities, midline facial cleft, hydrocephalus,

>growth hormone (weighs 56lbs.) and thyroid defecient, blind, choanial

>atresia, optic nerve hypoplasia, artificial tear duct, 12-P deletion,

>sensory

>intergration disorder, latex allergy, nystagmus, astigmatisms, probable

>malignant hyperthermia, ACM II w/30mm herniation, basilar impression.

>June10,

>98' suboccipital craniectomy and lamenectomy of C1 & C2. Aug. 10, 98' dura

>graft. History of 36 surgeries. (and musically talented) SUCH A SPECIAL

>LITTLE GIRL!

>

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>------------------------------------------------------------------------

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