Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery

Autor: Sung-Mi Ji, Eun-Jin Moon, Tae-Jun Kim, Jae-Woo Yi, Hyungseok Seo, Bong-Jae Lee
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: World Journal of Emergency Surgery, Vol 13, Iss 1, Pp 1-6 (2018)
Druh dokumentu: article
ISSN: 1749-7922
DOI: 10.1186/s13017-018-0195-0
Popis: Abstract Background Prediction of difficult airway is critical in the airway management of trauma patients. A LEMON method which consists of following assessments; Look-Evaluate-Mallampati-Obstruction-Neck mobility is a fast and easy technique to evaluate patients’ airways in the emergency situation. And a modified LEMON method, which excludes the Mallampati classification from the original LEMON score, also can be used clinically. We investigated the relationship between modified LEMON score and intubation difficulty score in adult trauma patients undergoing emergency surgery. Methods We retrospectively reviewed electronic medical records of 114 adult trauma patients who underwent emergency surgery under general anesthesia. All patients’ airways were evaluated according to the modified LEMON method before anesthesia induction and after tracheal intubation; the intubating doctor self-reported the intubation difficulty scale (IDS) score. A difficult intubation group was defined as patients who had IDS scores > 5. Results The modified LEMON score was significantly correlated with the IDS score (P
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