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Additional resources for Benumof's Airway Management. Principles and practice
Hydrogen is the most abundant element in the body. Every water molecule contains two hydrogen atoms, and larger molecules, such as lipids and proteins, contain many hydrogen atoms. MRI data are acquired by utilizing powerful electromagnets to create a magnetic field, which influences the alignment of protons in hydrogen atoms in the body. When radio waves are applied, protons are knocked out of natural alignment, and when the radio wave is stopped, the protons return to their original state of equilibrium, realigning to the steady magnetic field and emitting energy, which is translated into weak radio signals.
At times, the tip of the ET extends beyond the carina, resulting in intubation of the right main bronchus, which can be detected by asymmetric breath sounds or on CXR. If unrecognized, atelectasis in the underaerated lung may result. If a nasogastric or orogastric tube is in place, it should more or less course inferiorly and to the left, toward the fundus of the stomach in the left upper quadrant, except for the unusual case of situs inversus. Inadvertently the gastric tube may achieve bronchial intubation; the errant course of the tube would be evident.
Also, note fusion of C2 and C3 vertebrae. The small linear dark line at the level of mid-C2 is the subdental synchondrosis (white arrow). A C2 C3 B C 31 Ch02-A02233 11/28/06 32 SECTION I 4:10 PM Page 32 BASIC CLINICAL SCIENCE CONSIDERATIONS become more redundant owing to the relative shortening of the neck, which further obscures the view of the larynx. On laryngoscopy, the vocal cords are rotated clockwise. The presence of a rotated airway is suspected when the frontal view of the cervical spine demonstrates a deviated tracheal air column.