Abstract
A predictive model of scores of difficult intubation (DI) may help physicians screen for airway difficulty to reduce morbidity and mortality in obese patients. The present study aimed to set up and evaluate the predictive performance of a newly developed, practical, multivariate DI model for obese patients. A prospective multi-center study was undertaken on adults with a body mass index (BMI) of 30 kg/m2 or more who were undergoing conventional endotracheal intubation. The BMI and 10 preoperative airway tests (namely, malformation of the teeth in the upper jaw, the modified Mallampati test [MMT], the upper lip bite test, neck mobility testing, the neck circumference [NC], the length of the neck, the interincisor gap, the hyomental distance, the thyromental distance [TM] and the sternomental distance) were examined. A DI was defined as one with an intubation difficulty scale (IDS) score ≥ 5. The 1,015 patients recruited for the study had a mean BMI of 34.2 (standard deviation: 4.3 kg/m2). The proportions for easy intubation, slight DI and DI were 81%, 15.8% and 3.2%, respectively. Drawing on the results of a multivariate analysis, clinically meaningful variables related to obesity (namely, BMI, MMT, and the ratio of NC to TM) we...Continue Reading
References
Nov 1, 1990·Statistics in Medicine·J C Van Houwelingen, S Le Cessie
Aug 1, 1988·British Journal of Anaesthesia·M E WilsonP Lesser
Nov 1, 1984·Anaesthesia·R S Cormack, J Lehane
May 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D K Rose, M M Cohen
Apr 1, 1996·Acta Anaesthesiologica Scandinavica·J JacobsenT D Poulsen
Dec 1, 1996·Journal of Clinical Epidemiology·P PeduzziA R Feinstein
Jan 7, 1998·Anesthesiology·F AdnetC Lapandry
May 29, 1998·British Journal of Anaesthesia·J ArnéJ Ariès
Jul 3, 1998·European Journal of Anaesthesiology·G S VoyagisI Vrettou
Feb 23, 2002·BMJ : British Medical Journal·J André KnottnerusJean W M Muris
Feb 28, 2002·Anesthesia and Analgesia·Jay B BrodskyLawrence J Saidman
Mar 19, 2002·Lancet·David A Grimes, Kenneth F Schulz
Jan 1, 1950·Cancer·W J YOUDEN
Mar 9, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Nkihu A MerahChristopher O Bode
Jul 30, 2005·Anesthesiology·Toshiya ShigaAtsuhiro Sakamoto
Oct 26, 2005·Anesthesia and Analgesia·Banjong KrobbuabanMalin Tanomsat
Jan 18, 2006·Best Practice & Research. Clinical Anaesthesiology·Adrian Pearce
Feb 24, 2006·Anesthesia and Analgesia·Mohamed NaguibJoe E Ensor
Dec 22, 2006·American Journal of Epidemiology·Eric Vittinghoff, Charles E McCulloch
Mar 20, 2008·Anesthesia and Analgesia·Hélène GonzalezOlivier Fourcade
Jul 30, 2008·Biometrical Journal. Biometrische Zeitschrift·Thomas A GerdsMartin Schumacher
Jan 20, 2009·Anesthesia and Analgesia·Jin HuhDuk-Kyung Kim
Apr 9, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jeremy ReynoldsG Bannister
May 20, 2009·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·Kenneth J Drobatz
Nov 17, 2009·Life Sciences·M CorominasM Casas
May 18, 2010·Life Sciences·R JudithA B Mandal
Mar 1, 2011·British Journal of Anaesthesia·W H KimS A Ryu
Mar 31, 2011·British Journal of Anaesthesia·T M CookUNKNOWN Fourth National Audit Project
Jan 26, 2013·American Journal of Respiratory and Critical Care Medicine·Audrey De JongUNKNOWN AzuRéa Network for the Frida-Réa Study Group
Aug 25, 2016·Journal of Clinical Anesthesia·Arunotai Siriussawakul, Panita Limpawattana
May 22, 2017·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·Yue LiuCai-Li Li
Jun 15, 2017·The Western Journal of Emergency Medicine·Jestin N CarlsonChristian Martin-Gill