Research Article
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Year 2020, Volume: 10 Issue: 2, 243 - 247, 25.06.2020
https://doi.org/10.16899/jcm.745672

Abstract

References

  • Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airwayan updated report by the American Society of Anesthesiologists task force on management of the difficult airway. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2013;118(2):251-70.
  • Edelman D, Perkins E, Brewster D. Difficult airway management algorithms: a directed review. Anaesthesia. 2019;74(9):1175-85.
  • Langeron O, Bourgain J-L, Francon D, Amour J, Baillard C, Bouroche G, et al. Difficult intubation and extubation in adult anaesthesia. Anaesthesia Critical Care & Pain Medicine. 2018;37(6):639-51.
  • Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management–part 2–the anticipated difficult airway. Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 2013;60(11):1119-38.
  • Frerk C, Mitchell VS, McNarry AF, Mendonca C, Bhagrath R, Patel aA, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. BJA: British Journal of Anaesthesia. 2015;115(6):827-48.
  • Janssens M, Hartstein G. Management of difficult intubation. European journal of anaesthesiology. 2001;18(1):3-12.
  • Lakhe G, Poudel H, Adhikari KM. Assessment of Airway Parameters for Predicting Difficult Laryngoscopy and Intubation in a Tertiary Center in Western Nepal. Journal of Nepal Health Research Council. 2019;17(4):516-20.
  • Shah PN, Sundaram V. Incidence and predictors of difficult mask ventilation and intubation. Journal of anaesthesiology, clinical pharmacology. 2012;28(4):451.
  • Baillard C, Boubaya M, Statescu E, Collet M, Solis A, Guezennec J, et al. Incidence and risk factors of hypoxaemia after preoxygenation at induction of anaesthesia. British journal of anaesthesia. 2019;122(3):388-94.
  • Deniz O. Van City in Terms of Refuge Mobilitıes and The Demographic Profile of Refugees Doğu Coğrafya Dergisi. 2009;14(22):187-204.
  • Rao KVN, Dhatchinamoorthi D, Nandhakumar A, Selvarajan N, Akula HR, Thiruvenkatarajan V. Validity of thyromental height test as a predictor of difficult laryngoscopy: A prospective evaluation comparing modified Mallampati score, interincisor gap, thyromental distance, neck circumference, and neck extension. Indian journal of anaesthesia. 2018;62(8):603.
  • Iohom G, Ronayne M, Cunningham A. Prediction of difficult tracheal intubation. European journal of anaesthesiology. 2003;20(1):31-6.
  • Kandemir T, Şavlı S, Ünver S, Kandemir E. Sensitivity of the Combination of Mallampati Scores with Anthropometric Measurements and the Presence of Malignancy to Predict Difficult Intubation. Turkish journal of anaesthesiology and reanimation. 2015;43(1):7.
  • Adnet F, Racine S, Borron S, Clemessy J, Fournier J, Lapostolle F, et al. A survey of tracheal intubation difficulty in the operating room: a prospective observational study. Acta anaesthesiologica scandinavica. 2001;45(3):327-32.
  • Motamedi M, Soltani M, Amiri M, Memary E. The Relationship between Orotracheal Intubation Difficulty Scoring Systems and Anthropometric Factors. Advanced journal of emergency medicine. 2019;3(1).
  • Kayashima K, Matsushita H, Murashima K. Difficult tracheal intubation using the Airway Scope in a patient with unexpected mouth-opening difficulty. Journal of anesthesia. 2012;26(2):308-9.
  • Akasapu KR, Wuduru S, Padhy N, Durga P. Unanticipated cannot intubate situation due to difficult mouth opening. Journal of anaesthesiology, clinical pharmacology. 2015;31(1):123.
  • Zacharopoulos GV, Manios A, Kau CH, Velagrakis G, Tzanakakis GN, de Bree E. Anthropometric analysis of the face. Journal of Craniofacial Surgery. 2016;27(1):e71-e5.
  • Frerk C. Predicting difficult intubation. Anaesthesia. 1991;46(12):1005-8.
  • Chanchayanon T, Suraseranivongse S, Chau-in W. The Thai Anesthesia Incidents Study (THAI Study) of difficult intubation: a qualitative analysis. J Med Assoc Thai. 2005;88(Suppl 7):S62-8.
  • Xue F, Zhang G, Li P, Sun H, Li C, Liu K, et al. The clinical observation of difficult laryngoscopy and difficult intubation in infants with cleft lip and palate. Pediatric anesthesia. 2006;16(3):283-9.
  • Mbajiorgu F, Zivanovic S, Asala S, Mawera G. A pilot study of the mandibular angle in black Zimbabweans. The Central African journal of medicine. 1996;42(10):285-7.
  • Naguib M, Malabarey T, AlSatli RA, Al Damegh S, Samarkandi AH. Predictive models for difficult laryngoscopy and intubation. A clinical, radiologic and three-dimensional computer imaging study. Canadian Journal of Anesthesia. 1999;46(8):748.
  • SHIGA T. Predicting difficult intubation in apparently normal patients. A meta analysis of bedside screening test performance. Anesthesiology. 2006;105:885-91.

Assessment of Difficult Intubation Predictors in Different Populations of Turkey

Year 2020, Volume: 10 Issue: 2, 243 - 247, 25.06.2020
https://doi.org/10.16899/jcm.745672

Abstract

Difficult tracheal intubation is defined when tracheal intubation requires multiple attempts, in the presence or absence of tracheal pathology. Most importantly, difficult intubation differs between countries and populations. Physicians should be aware of difficult intubation frequencies of their populations. Turkey is a transit country between East and West. Eastern Turkey reflects the Middle East and Asia, while western Turkey has European features. Our objectives were to investigate the frequency of difficult intubation in different regions’ populations, and specificity and sensitivity of predictive values. According to the population in the regions, 24 experienced anesthesiologists from 13 hospitals in 7 regions, were included in the study. Of 1313 patients, 143 patients (10.89%) were detected as difficult intubation. Mallampathy (MLP) III-IV were alone (p = 0.043), and the combination of thyromental distance <6 cm and MLP III-IV (p: 0.018) were statistically significant in difficult and easy intubation patient groups. The specificity was 97.46% in MLP + thyromental combination, and 98.05% in MLP + mouth opening combination. Western region had the shortest measurements in sternomental, thyromental and mouth opening (p <0.05), and had the most difficult intubation frequency compared to the other regions (p: 0.001). The positive predictive values were increased with increasing combinations, but further research is needed on the predictors of difficult intubation.

References

  • Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airwayan updated report by the American Society of Anesthesiologists task force on management of the difficult airway. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2013;118(2):251-70.
  • Edelman D, Perkins E, Brewster D. Difficult airway management algorithms: a directed review. Anaesthesia. 2019;74(9):1175-85.
  • Langeron O, Bourgain J-L, Francon D, Amour J, Baillard C, Bouroche G, et al. Difficult intubation and extubation in adult anaesthesia. Anaesthesia Critical Care & Pain Medicine. 2018;37(6):639-51.
  • Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management–part 2–the anticipated difficult airway. Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 2013;60(11):1119-38.
  • Frerk C, Mitchell VS, McNarry AF, Mendonca C, Bhagrath R, Patel aA, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. BJA: British Journal of Anaesthesia. 2015;115(6):827-48.
  • Janssens M, Hartstein G. Management of difficult intubation. European journal of anaesthesiology. 2001;18(1):3-12.
  • Lakhe G, Poudel H, Adhikari KM. Assessment of Airway Parameters for Predicting Difficult Laryngoscopy and Intubation in a Tertiary Center in Western Nepal. Journal of Nepal Health Research Council. 2019;17(4):516-20.
  • Shah PN, Sundaram V. Incidence and predictors of difficult mask ventilation and intubation. Journal of anaesthesiology, clinical pharmacology. 2012;28(4):451.
  • Baillard C, Boubaya M, Statescu E, Collet M, Solis A, Guezennec J, et al. Incidence and risk factors of hypoxaemia after preoxygenation at induction of anaesthesia. British journal of anaesthesia. 2019;122(3):388-94.
  • Deniz O. Van City in Terms of Refuge Mobilitıes and The Demographic Profile of Refugees Doğu Coğrafya Dergisi. 2009;14(22):187-204.
  • Rao KVN, Dhatchinamoorthi D, Nandhakumar A, Selvarajan N, Akula HR, Thiruvenkatarajan V. Validity of thyromental height test as a predictor of difficult laryngoscopy: A prospective evaluation comparing modified Mallampati score, interincisor gap, thyromental distance, neck circumference, and neck extension. Indian journal of anaesthesia. 2018;62(8):603.
  • Iohom G, Ronayne M, Cunningham A. Prediction of difficult tracheal intubation. European journal of anaesthesiology. 2003;20(1):31-6.
  • Kandemir T, Şavlı S, Ünver S, Kandemir E. Sensitivity of the Combination of Mallampati Scores with Anthropometric Measurements and the Presence of Malignancy to Predict Difficult Intubation. Turkish journal of anaesthesiology and reanimation. 2015;43(1):7.
  • Adnet F, Racine S, Borron S, Clemessy J, Fournier J, Lapostolle F, et al. A survey of tracheal intubation difficulty in the operating room: a prospective observational study. Acta anaesthesiologica scandinavica. 2001;45(3):327-32.
  • Motamedi M, Soltani M, Amiri M, Memary E. The Relationship between Orotracheal Intubation Difficulty Scoring Systems and Anthropometric Factors. Advanced journal of emergency medicine. 2019;3(1).
  • Kayashima K, Matsushita H, Murashima K. Difficult tracheal intubation using the Airway Scope in a patient with unexpected mouth-opening difficulty. Journal of anesthesia. 2012;26(2):308-9.
  • Akasapu KR, Wuduru S, Padhy N, Durga P. Unanticipated cannot intubate situation due to difficult mouth opening. Journal of anaesthesiology, clinical pharmacology. 2015;31(1):123.
  • Zacharopoulos GV, Manios A, Kau CH, Velagrakis G, Tzanakakis GN, de Bree E. Anthropometric analysis of the face. Journal of Craniofacial Surgery. 2016;27(1):e71-e5.
  • Frerk C. Predicting difficult intubation. Anaesthesia. 1991;46(12):1005-8.
  • Chanchayanon T, Suraseranivongse S, Chau-in W. The Thai Anesthesia Incidents Study (THAI Study) of difficult intubation: a qualitative analysis. J Med Assoc Thai. 2005;88(Suppl 7):S62-8.
  • Xue F, Zhang G, Li P, Sun H, Li C, Liu K, et al. The clinical observation of difficult laryngoscopy and difficult intubation in infants with cleft lip and palate. Pediatric anesthesia. 2006;16(3):283-9.
  • Mbajiorgu F, Zivanovic S, Asala S, Mawera G. A pilot study of the mandibular angle in black Zimbabweans. The Central African journal of medicine. 1996;42(10):285-7.
  • Naguib M, Malabarey T, AlSatli RA, Al Damegh S, Samarkandi AH. Predictive models for difficult laryngoscopy and intubation. A clinical, radiologic and three-dimensional computer imaging study. Canadian Journal of Anesthesia. 1999;46(8):748.
  • SHIGA T. Predicting difficult intubation in apparently normal patients. A meta analysis of bedside screening test performance. Anesthesiology. 2006;105:885-91.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Ali Bestemi Kepekçi 0000-0002-5215-9545

Elif Erdoğan This is me 0000-0002-2206-9928

Hatice Pınar Yavaşça This is me 0000-0002-0656-9551

Serkan Telli This is me 0000-0001-8045-5205

Publication Date June 25, 2020
Acceptance Date June 22, 2020
Published in Issue Year 2020 Volume: 10 Issue: 2

Cite

AMA Kepekçi AB, Erdoğan E, Yavaşça HP, Telli S. Assessment of Difficult Intubation Predictors in Different Populations of Turkey. J Contemp Med. June 2020;10(2):243-247. doi:10.16899/jcm.745672