A survey of tracheal intubation difficulty in the operating room: a prospective observational study.

Autor: Adnet, F., Racine, S. X., Borron, S. W., Clemessy, J. L., Fournier, J. L., Lapostolle, F., Cupa, M.
Předmět:
Zdroj: Acta Anaesthesiologica Scandinavica; Mar2001, Vol. 45 Issue 3, p327-332, 6p, 1 Black and White Photograph, 2 Charts, 3 Graphs
Abstrakt: Background: The purpose of this study is to describe all degrees of endotracheal intubation difficulty among patients attended by eight anesthesiologists during routine surgery over a six-month period. Airway characteristics were routinely assessed preoperatively, according to the anesthesiologists' usual practice.Methods: Difficult tracheal intubation was evaluated by the Intubation Difficulty Scale (IDS), a quantitative score based on seven variables. An IDS value of 0 is consistent with a procedure without difficulty, and an IDS > 5 with a procedure involving moderate to major difficulty.Results: For 1171 patients undergoing tracheal intubation, IDS was 0 in 55%, and greater than 5 in 8% of cases. External laryngeal pressure, repositioning the patient and added use of a stylet were the most frequent methods chosen to facilitate tracheal intubation.Conclusion: There was a high incidence (37%) of minor difficulties encountered during routine surgery. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index