Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.s1.02
Assessment of Standard Anthropometric Airway Characteristics Relevant for Airway Management of Patients with Obstructive Sleep Apnea Syndrome during Sleep Breathing Disorder Surgery: A Retrospective, 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
Morena Milić
; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Dubrava University Hospital, Zagreb, Croatia; Dubrovnik University, Dubrovnik, Croatia
Višnja Nesek Adam
; 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; Emergency Department, Sveti Duh University Hospital, Zagreb, Croatia; Faculty of Dental Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Libertas International University, Zagreb, Croatia
Boris Šimunjak
; Faculty of Dental Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology and Head and Neck Surgery, Sveti Duh University Hospital, Zagreb, Croatia
Sažetak
The aim of this study was to explore standard anthropometric airway characteristics
of patients with obstructive sleep apnea syndrome (OSAS) and determine the incidence and
risk factors for difficult airway management. Final analysis included 91 patients with polysomnography-
verified diagnosis of OSAS who underwent sleep breathing disorder surgery under general anesthesia
with direct laryngoscopy oroendotracheal intubation. The incidence of difficult manual mask
ventilation during anesthesia induction, difficult intubation and immediate postextubation respiratory
complications was 17.6%, 7.7% and 7.7%, respectively. Compared to patients without difficult manual
mask ventilation, the group of OSAS patients with difficult manual mask ventilation had a higher rate
of body mass index (BMI) ≥25 kgm-2 (p=0.010), Mallampati score ≥3 (p=0.024) and Cormack-Lehane
score ≥3 (p=0.002). The OSAS patients with difficult intubation had more Cormack-Lehane
score ≥3 (p=0.002) in comparison to those without difficult intubation. Our study demonstrated that
manual mask ventilation during anesthesia induction was the most troublesome airway management
task in OSAS patients during sleep breathing disorder surgery. Cormack-Lehane score was a relevant
determinator of difficult mask ventilation and difficult intubation, while Mallampati score and BMI
were relevant determinators only for difficult manual mask ventilation.
Ključne riječi
Airway management; Sleep apnea, obstructive; Intubation; Ventilation; Anesthesia, general
Hrčak ID:
307444
URI
Datum izdavanja:
1.4.2023.
Posjeta: 255 *