Pre-selection of primary intubation technique is associated with a low incidence of difficult intubation in patients with a BMI of 35 kg/m

Autor: Tiberiu, Ezri, Ronen, Waintrob, Yuri, Avelansky, Alexander, Izakson, Katia, Dayan, Mordechai, Shimonov
Rok vydání: 2018
Předmět:
Zdroj: Romanian journal of anaesthesia and intensive care. 25(1)
ISSN: 2392-7518
Popis: The incidence of difficult intubation (DI) in obese patients may reach a two-digit figure. No studies have assessed the effect of primary use of special intubation devices on lowering the incidence of DI. We assessed the effect of primary selection of special intubation techniques on the incidence of DI in patients with a BMI of 35 kg/mData from 546 patients with a BMI of 35 kg/mThe overall incidence of DI was 1.6% (1.5% with DL vs. 2.2 with VL + AFOI, p = 0.61). With logistic regression analysis, age was the only significant predictor of DI. Predictors of DI that affected the selection of VL or AFOI as primary intubation tools were Mallampati class 3 or 4, limited neck movement, age, male gender, body mass index and obstructive sleep apnea syndrome.The lower incidence of DI in our study group may stem from the primary use of special intubation devices, based on the presence of predictors of DI.
Databáze: OpenAIRE