Yıl 2020, Cilt 10 , Sayı 2, Sayfalar 243 - 247 2020-06-25

Assessment of Difficult Intubation Predictors in Different Populations of Turkey

Ali Bestemi KEPEKÇİ [1] , Elif ERDOĞAN [2] , Hatice Pınar YAVAŞÇA [3] , Serkan TELLİ [4]


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.
Anthropometric measurements, Airway Management, Demography, Difficult Intubation, Laryngoscope, Predicting difficult intubation
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Yazarlar

Orcid: 0000-0002-5215-9545
Yazar: Ali Bestemi KEPEKÇİ (Sorumlu Yazar)
Kurum: ISTANBUL YENI YUZYIL UNIVERSITY
Ülke: Turkey


Orcid: 0000-0002-2206-9928
Yazar: Elif ERDOĞAN
Kurum: Sanko University Sani Konukoglu Practice and Research Hospital
Ülke: Turkey


Orcid: 0000-0002-0656-9551
Yazar: Hatice Pınar YAVAŞÇA
Kurum: Istanbul Istinye State Hospital
Ülke: Turkey


Orcid: 0000-0001-8045-5205
Yazar: Serkan TELLİ
Kurum: Lefke European University Vocational School of Health Services
Ülke: Cyprus


Tarihler

Kabul Tarihi : 22 Haziran 2020
Yayımlanma Tarihi : 25 Haziran 2020

AMA Kepekçi̇ A , Erdoğan E , Yavaşça H , Telli̇ S . Assessment of Difficult Intubation Predictors in Different Populations of Turkey. J Contemp Med. 2020; 10(2): 243-247.