부산대학교 도서관

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 [greater than or equal to]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 Dificulty 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. Keywords: Dificult airway; Otorhinolaryngologic surgical procedure; Head and neck surgery; Predictors Cilj ovoga istrazivanja bila je procjena prijeoperacijskih anamnestickih podataka o disnom putu i pojedinacnih testova probira za otezanu ventilaciju licnom maskom (VLM) i otezane intubacije direktnom laringoskopijom (DLI) u otorinolaringoloskoj kirurgiji. Zavrsna analiza je ukljucivala 62 bolesnika u dobi od [greater than or equal to]14 godina podvrgnutih elektivnoj kirurgiji s endotrahealnom intubacijom u jednom centru unutar mjesec dana. Prospektivno su prikupljani podaci o povijesti otezane intubacije, simptomima disnog puta i patologiji povezanoj s otezanim disnim putom. Koristila se bodovna ljestvica po Hanu za VLM i Intubation Dificulty Score (IDS). Bilo je 14 (22,6%) bolesnika s anamnezom aktualnih tumora ili apscesa. Samo dva (3,2%) bolesnika su prijeoperacijski procijenjeni kao moguci otezani disni put. Oboje su bili lagano otezane ventilacije i ocijenjeni IDS 5 i IDS 8. VLM je ocijenjena kao lagana u 50 (80,5%), lagano otezana u 10 (16,1%) slucajeva i otezana u dva (3,2%) slucaja. Bilo je 29 (46,78%) slucajeva lagano otezene DLI i jedan (1,6%) slucaj otezane DLI. Istrazivanje je potvrdilo klinicki znacajnu incidenciju otezene VLM i DLI u otorinolaringolosih kirurskih bolesnika. Medutim, potrebni su jaci dokazi za identifkaciju pojedinacne prijeoperacijske varijable koja bi bila prediktivna za otezani disni put. Kljucne rijeci: Otezani disni put; Otorinolaringoloski kirurski postupci; Kirurgija glave i vrata; Prediktori
Introduction Preoperative airway assessment is an important part of any preoperative anesthetic patient evaluation as it identifies high-risk patients for difficult face mask ventilation and difficult intubation. The proper airway [...]