EVALUATION AND MANAGEMENT OF DIFFICULT AIRWAY IN OBESITY: A SINGLE CENTER RETROSPECTIVE STUDY

被引：1

作者：

Ayhan, Asude ^{[1
]}

Kaplan, Serife ^{[1
]}

Kayhan, Zeynep ^{[1
]}

Arslan, Gulnaz ^{[1
]}

机构：

[1] Baskent Univ, Sch Med, Dept Anesthesiol & Reanimat, Fevzi Cakmak Caddesi,10 Sokak, 45, TR-06490 Ankara, Turkey

来源：

ACTA CLINICA CROATICA | 2016年 / 55卷

关键词：

Airway Management; Airway Obstruction; Intubation; Intratracheal; Laryngoscopy; Endometrial Neoplasms - Surgery; Anesthesia; General; Obesity; MASK VENTILATION; TRACHEAL INTUBATION; COMPLICATIONS;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The primary aim of this single center retrospective study was to evaluate difficult mask ventilation (DMV) and difficult laryngoscopy (DL) in a unique group of obese patients. A total of 427 adult patients with body mass index (BMI) >= 25 and surgically treated for endometrial cancer from 2011 to 2014 were assessed. Additional increase in BMI, comorbidities, bedside screening tests for risk factors, and the tools used to manage the patients were noted and their effects on DMV and/or DL investigated. Every escalation in the number of risk factors increased the probability of DMV 2.2-fold, DL 1.8-fold and DMV+DL 3.0-fold. Among bedside tests, limited neck movement (LNM), short neck (SN) and absence of teeth were significant for DMV (p<0.05), LNM, SN and obstructive sleep apnea for DL (p<0.05), and LNM and SN for DMV+DL (p<0.05). However, a 10-point increase of BMI was not an independent risk factor when patients with BMI >25% were considered. In conclusion, LNM and SN are independent risk factors for developing DMV and/or DL in obese endometrial cancer patients, while BMI increase over 30 was not additionally affecting difficult airway.

引用

页码：27 / 32

页数：6

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