Airway physical examination tests for detection of difficult airway management in apparently normal adult patients

The Cochrane Database of Systematic Reviews
Dominik RothHarald Herkner

Abstract

The unanticipated difficult airway is a potentially life-threatening event during anaesthesia or acute conditions. An unsuccessfully managed upper airway is associated with serious morbidity and mortality. Several bedside screening tests are used in clinical practice to identify those at high risk of difficult airway. Their accuracy and benefit however, remains unclear. The objective of this review was to characterize and compare the diagnostic accuracy of the Mallampati classification and other commonly used airway examination tests for assessing the physical status of the airway in adult patients with no apparent anatomical airway abnormalities. We performed this individually for each of the four descriptors of the difficult airway: difficult face mask ventilation, difficult laryngoscopy, difficult tracheal intubation, and failed intubation. We searched major electronic databases including CENTRAL, MEDLINE, Embase, ISI Web of Science, CINAHL, as well as regional, subject specific, and dissertation and theses databases from inception to 16 December 2016, without language restrictions. In addition, we searched the Science Citation Index and checked the references of all the relevant studies. We also handsearched selected journa...Continue Reading

References

Jan 1, 1991·Annales Françaises D'anesthèsie Et De Rèanimation·T PottecherM Forrler
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Sep 28, 2002·Anesthesia and Analgesia·Mohammad A Siyam, Dan Benhamou
Jan 7, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M Angeles AyusoJoan M Carbó
Feb 1, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Tiberiu EzriIlan Charuzi
Apr 30, 2003·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Management of the Difficult Airway
Jun 27, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Tiberiu EzriBeniamin Medalion
Jul 23, 2003·Anesthesia and Analgesia·Philippe JuvinJean-Marie Desmonts
Sep 26, 2003·Anesthesiology·Ian CalderH Alan Crockard

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Citations

Oct 18, 2018·Minerva anestesiologica·Marco Rossi
Jan 11, 2020·Minerva anestesiologica·Alessandro De CassaiPaolo Navalesi
Feb 24, 2019·Archives of Disease in Childhood. Fetal and Neonatal Edition·Taylor SawyerUNKNOWN National Emergency Airway Registry for Neonates (NEAR4NEOS) investigators
Mar 6, 2019·Anesthesiology Research and Practice·Martin F BjurströmLouise W Sturesson
Apr 4, 2019·Human Fertility : Journal of the British Fertility Society·Umesh AcharyaGeoff Tavener
Oct 16, 2020·Minerva anestesiologica·Amedeo BianchiniMaria F Scuppa

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