Grading of Bag-Mask Ventilation Difficulty and Association with Unanticipated Difficult Laryngoscopy/Intubation in Children at a Training Center University Hospital: A Prospective Cohort Study

Autor: Edward McNeil, Tidarut Sangkaew, Kanjana Nuanjun, Maliwan Oofuvong
Rok vydání: 2020
Předmět:
Zdroj: Anesthesia & Clinical Research. 11
DOI: 10.35248/2155-6148.20.11.937
Popis: Objective: In children, the grading of Bag-Mask Ventilation (BMV) difficulty and its association with difficult laryngoscopy/intubation has not been well established. This study aimed to evaluate the grading for BMV difficulty and determine its association with difficult laryngoscopy/intubation in a normal airway pediatric population. Methods: This prospective cohort study was conducted in children aged ≤9 years who underwent general anesthesia and oroendotracheal tube intubation between September 2008 and December 2012. Difficult laryngoscopy was defined as a Cormack–Lehane laryngoscopic view grade of 3 or 4. Difficult intubation was defined as the occurrence of at least two of the following: 1) at least three intubation attempts using direct laryngoscopy by experienced personnel (excluding first intubation attempts); 2) intubation time >300 s; and 3) occurrence of desaturation (SpO2
Databáze: OpenAIRE