Incidence and predictors of difficult laryngoscopy in 11,219 pediatric anesthesia procedures

Paediatric Anaesthesia
Sebastian HeinrichJoachim Schmidt

Abstract

Difficult laryngoscopy in pediatric patients undergoing anesthesia. This retrospective analysis was conducted to investigate incidence and predictors of difficult laryngoscopy in a large cohort of pediatric patients receiving general anesthesia with endotracheal intubation. Young age and craniofacial dysmorphy are predictors for the difficult pediatric airway and difficult laryngoscopy. For difficult laryngoscopy, other general predictors are not yet described. Retrospectively, from a 5-year period, data from 11.219 general anesthesia procedures in pediatric patients with endotracheal intubation using age-adapted Macintosh blades in a single center (university hospital) were analyzed statistically. The overall incidence of difficult laryngoscopy [Cormack and Lehane (CML) grade III and IV] was 1.35%. In patients younger than 1 year, the incidence of CML III or IV was significantly higher than in the older patients (4.7% vs 0.7%). ASA Physical Status III and IV, a higher Mallampati Score (III and IV) and a low BMI were all associated (P < 0.05) with difficult laryngoscopy. Patients undergoing oromaxillofacial surgery and cardiac surgery showed a significantly higher rate of CML III/IV findings. The general incidence of difficult ...Continue Reading

Associated Clinical Trials

References

Jul 1, 1985·Canadian Anaesthetists' Society Journal·S R MallampatiP L Liu
Jan 1, 1996·Paediatric Anaesthesia·F J Frei, W Ummenhofer
Sep 23, 1998·Anaesthesia and Intensive Care·H Bilgin, G Ozyurt
Apr 26, 2002·Anesthesia and Analgesia·Selma TürkanIbrahim Tekdemir
Dec 21, 2006·Anesthesia and Analgesia·Nathalia JimenezKaren B Domino
Feb 1, 2007·Paediatric Anaesthesia·Stephanie AplinJonathan DE Lima
Jul 25, 2007·Anesthesia and Analgesia·Sanjay M BhanankerJeffrey P Morray
Jul 2, 2009·International Journal of Cancer. Journal International Du Cancer·Shlok GuptaWilliam J Mackillop
Sep 19, 2009·Anesthesia and Analgesia·Patrick J NeliganE Andrew Ochroch
Oct 19, 2010·British Journal of Anaesthesia·D CattanoL A Schwarte
Nov 18, 2010·British Journal of Anaesthesia·R S Cormack
Mar 16, 2011·Paediatric Anaesthesia·Asadollah MirghassemiMaryam Abtahi
Apr 16, 2011·Zentralblatt für Chirurgie·S HeinrichJ Schmidt

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Citations

Oct 18, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Adam LawUNKNOWN Canadian Airway Focus Group
Oct 23, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Sebastian HeinrichJoachim Schmidt
Jan 16, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Cengiz KarsliPreethy Mathew
Apr 24, 2012·Annals of Emergency Medicine·Steven M Green
Mar 11, 2016·Chinese Medical Journal·Lu-Lu MaJian-Guo Zhang
Aug 3, 2013·Paediatric Anaesthesia·Teresa Valois-GómezJosé A Correa
Jan 14, 2016·BioMed Research International·Jozef KlučkaMartina Kosinová
Aug 6, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Cengiz Karsli
May 28, 2015·Der Anaesthesist·T BaehnerP Knuefermann
Dec 30, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Narasimhan JagannathanGildasio S De Oliveira
Dec 9, 2016·International Anesthesiology Clinics·Cheryl K Gooden
Dec 13, 2016·International Anesthesiology Clinics·Ingrid Fitz-James AntoineOren Tepper
Feb 12, 2017·Journal of Clinical Anesthesia·Yoshinari MorimotoHitoshi Niwa
Dec 23, 2016·Anaesthesia Critical Care & Pain Medicine·Chrystelle SolaChristophe Dadure
Nov 16, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Taiki KojimaUNKNOWN National Emergency Airway Registry for Children (NEAR4KIDS) Collaborators and Pediatric Acute Lung Injury and Sepsis Investi
Jan 19, 2017·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Ruth M C LöllgenMary E McCaskill
Jul 31, 2018·Acta Anaesthesiologica Scandinavica·Ji Eun Kim, Jong Yeop Kim
Aug 2, 2018·Acta Anaesthesiologica Scandinavica·Divya Jain
Aug 11, 2018·A&A Practice·Devalina GoswamiRiddhi Kundu
Sep 13, 2012·Paediatric Anaesthesia·Rani A SunderAnshuman Sharma
Feb 1, 2013·Anesthesiology·Jeffrey L ApfelbaumUNKNOWN American Society of Anesthesiologists Task Force on Management of the Difficult Airway
Nov 20, 2013·European Journal of Anaesthesiology·Alexander R SchmidtThomas Engelhardt
Jul 22, 2014·Paediatric Anaesthesia·Elliot LongFranz E Babl
Jan 11, 2020·Minerva anestesiologica·Jin XuYe Wang
Jun 19, 2015·Current Opinion in Anaesthesiology·Joseph D Tobias
Sep 20, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Wojciech WalasZenon P Halaba
Jul 3, 2013·Current Opinion in Critical Care·Livia Pompei, Giorgio Della Rocca
Apr 19, 2015·Current Opinion in Anaesthesiology·Sebastian G Russo, Karin Becke
Mar 19, 2016·Paediatric Anaesthesia·Zihui Tan, Shu Ying Lee
Dec 23, 2016·The Journal of Craniofacial Surgery·Zeynep Baysal YildirimElif Baysal
Oct 3, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Pilar CoboBorja Osona
Dec 13, 2019·Paediatric Anaesthesia·David J MurrayJennifer Marsh
May 20, 2020·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Jozef KluckaPetr Stourac
May 6, 2015·Emergency Medicine Australasia : EMA·Andrew TaggBen Lawton

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