New prediction system for difficult ventilation through a supraglottic airway device.

Authors

  • Marta Vicente Orgaz MIR 3º año Hospital Universitario Severo Ochoa ( Leganés, Madrid)
  • Raquel González Velasco Médico Interno Residente. Servicio de Anestesiología y Reanimación. Hospital Universitario Severo Ochoa. Leganés, Madrid.
  • Antonio García Rueda Facultativo Especialista Adjunto Servicio de Anestesiología y Reanimación. Hospital Universitario Severo Ochoa. Leganés, Madrid.
  • Concepción Rodríguez Bertos Facultativo Especialista Adjunto Servicio de Anestesiología y Reanimación. Hospital Universitario Severo Ochoa. Leganés, Madrid.

DOI:

https://doi.org/10.30445/rear.v11i1.710

Keywords:

supraglotic devices, DGS, VAD, DAS

Abstract

The aim of this study was to propose and validate a new clinical score to predict difficult ventilation through a supraglottic airway device.
The authors developed a scoring system that was prospectively validated in 5532 patients. They assigned point values to each of the identified four risk factors: male, age >45 yr., short thyromental distance, and limited neck movement, their sum composing the score.

The score ranged between 0 and 7 points. A score 4 or greater is associated with an increased risk of difficult ventilation through a supraglottic airway device.

Our conclusion is that the new score for prediction of difficult ventilation through a supraglottic airway device is easy to use and could help anesthetists plan for difficult airway management.

References

- Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guide- lines for management of the difficult airway: an updated re- port by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118: 251–70
-Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult in- tubation in adults. Br J Anaesth 2015; 115: 827–48
-. Cook TM, Trumpelmann P, Beringer R, Stedeford J. A randomised comparison of the Portex Softseal laryngeal mask airway with the LMA-Unique during anaesthesia. Anaesthesia 2005; 60: 1218–25
- Saito T, Liu W, Chew ST, Ti LK. Incidence of and risk factors for difficult ventilation via a supraglottic airway device in a population of 14,480 patients from South-East Asia. Anaesthesia 2015; 70: 1079–83
- Hung, Orlando, and Michael Murphy. "Changing practice in airway management: are we there yet?." Canadian Journal of Anesthesia/Journal canadien d'anesthésie 51.10 (2004): 963-968.

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Published

2020-09-10

How to Cite

Vicente Orgaz, M., González Velasco, R., García Rueda, A., & Rodríguez Bertos, C. (2020). New prediction system for difficult ventilation through a supraglottic airway device. Revista Electrónica AnestesiaR, 11(1), 5. https://doi.org/10.30445/rear.v11i1.710

Issue

Vol. 11 No. 1 (2019): Revista Electrónica de AnestesiaR

Section

Critical reviews of articles

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Copyright (c) 2019 Revista Electrónica AnestesiaR

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