Assessment of Difficult Intubation Predictors in Different Populations of Turkey

Journal of Contemporary Medicine

卷:10

Ali Bestemi Kepekçi¹  Hatice Pınar Yavaşça²  Serkan Telli³  Elif Erdoğan⁴ 

[1] ISTANBUL YENI YUZYIL UNIVERSITY;

[2] Istanbul Istinye State Hospital;

[3] Lefke European University Vocational School of Health Services;

[4] Sanko University Sani Konukoglu Practice and Research Hospital;

关键词: anthropometric measurements;    airway management;    demography;    difficult intubation;    laryngoscope;    predicting difficult intubation;   

DOI  :  10.16899/jcm.745672

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown