Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.s1.01
Preoperative Single Anthropometric Screening Tests of Difficult Face Mask Ventilation and Difficult Direct Laryngoscopy Intubation in Patients Undergoing Otorhinolaryngological Surgery: A Prospective, Observational, Single Center Study
Tatjana Goranović
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Sveti Duh University Hospital, Zagreb, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Boris Šimunjak
; Department of Otorhinolaryngology and Head and Neck Surgery, Sveti Duh University Hospital, Zagreb, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ana Jadrijević Štefek
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Sveti Duh University Hospital, Zagreb, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Sonja Krofak
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Sveti Duh University Hospital, Zagreb, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ivan Šklebar
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Sveti Duh University Hospital, Zagreb, Croatia; Croatian Catholic University, Zagreb, Croatia; Bjelovar University of Applied Sciences, Bjelovar, Croatia
Morena Milić
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, Croatia; Dubrovnik University, Dubrovnik, Croatia
Branka Maldini
; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Zdenko Novotny
; Kreiskliniken Darmstadt-Dieburg, Darmstadt, Hessen, Germany
Sažetak
The aim of this study was to assess preoperative airway history data and single
anthropometric screening tests of difficult face mask ventilation (FMV) and difficult direct laryngoscopy
intubation (DLI) in otorhinolaryngological surgery. Final analysis included 62 patients aged ≥14
years undergoing elective surgery with endotracheal intubation at a single center during a one-month
period. Data on difficult intubation history, airway symptoms and pathology related to difficult airway
were prospectively collected. Han scoring classification of FMV and Intubation Difficulty Score
(IDS) were used. There were 14 (22.6%) patients with a history of current airway tumors or abscesses.
Only two (3.2%) patients were preoperatively evaluated as anticipated difficult airway. Both were
slightly difficult to ventilate and scored IDS 5 and IDS 8. FMV was graded as easy in 50 (80.5%),
slightly difficult in 10 (16.1%) and difficult in 2 (3.2%) cases. There were 29 (46.78%) slightly difficult
DLIs and one (1.6%) case of difficult DLI. The study confirmed clinically relevant incidence of
difficulties with FMV and DLI in otorhinolaryngologic surgery patients. However, there should be
stronger evidence to identify a single preoperative variable predicting difficult airway.
Ključne riječi
Difficult airway; Otorhinolaryngologic surgical procedure; Head and neck surgery; Predictors
Hrčak ID:
307443
URI
Datum izdavanja:
1.4.2023.
Posjeta: 304 *