Encountering unexpected difficult airway: relationship with the intubation difficulty scale
| Autor: | Ha-Jung Kim, Hong Seuk Yang, Young Jin Ro, Won-Uk Koh, Kyongsun Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Scoring system Unexpected difficult airway medicine.medical_treatment unexpected intubation Unexpected difficult intubation scale lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Medicine Intubation Elective surgery Intensive care medicine Difficult intubation difficult grade Clinical Research Article business.industry 030208 emergency & critical care medicine Stylet Anesthesiology and Pain Medicine lcsh:Anesthesiology business |
| Zdroj: | Korean Journal of Anesthesiology, Vol 69, Iss 3, Pp 244-249 (2016) Korean Journal of Anesthesiology |
| ISSN: | 2005-7563 2005-6419 |
| Popis: | Background An unexpected difficult intubation can be very challenging and if it is not managed properly, it may expose the encountered patient to significant risks. The intubation difficulty scale (IDS) has been used as a validated method to evaluate a global degree of intubation difficulty. The aims of this study were to evaluate the prevalence and characteristics of unexpected difficult intubation using the IDS. Methods We retrospectively reviewed 951 patients undergoing elective surgery in a single medical center. Patients expected to have a difficult intubation or who had history of difficult intubation were excluded. Each patient was assessed by the IDS scoring system with seven variables. Total prevalence of difficult intubation and the contributing individual factors were further analyzed. Results For the 951 patients, the difficult intubation cases presenting IDS > 5 was 5.8% of total cases (n = 55). The prevalence of Cormack-Lehane Grade 3 or 4 was 16.2% (n = 154). Most of the difficult intubation cases were managed by simple additional maneuvers and techniques such as stylet application, additional lifting force and laryngeal pressure. Conclusions Unexpected difficult airway was present in 5.8% of patients and most was managed effectively. Among the components of IDS, the Cormack-Lehane grade was most sensitive for predicting difficult intubation. |
| Databáze: | OpenAIRE |
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