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Anaesthesiology Intensive Therapy
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5/2024
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Original article

Addition of flexible laryngoscopy to anesthesiological parameters improves prediction of difficult intubation in laryngeal surgery

Danica Marković
1
,
Maja Šurbatović
2, 3
,
Dušan Milisavljević
4, 5
,
Vesna Marjanović
1, 6
,
Toma Kovačević
4
,
Milan Stanković
4, 5

  1. Clinic for Anesthesiology and Intensive Therapy, University Clinical Center in Niš, Niš, Serbia
  2. Clinic for Anesthesiology and Intensive Therapy, Military Medical Academy, Belgrade, Serbia
  3. Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  4. Otolaryngology Clinic, University Clinical Center in Niš, Niš, Serbia
  5. Department Otorhinolaryngology, Faculty of Medicine, University in Niš, Niš, Serbia
  6. Department of Surgery and Anesthesiology and Reanimatology, Faculty of Medicine, University in Niš, Niš, Serbia
Anaesthesiol Intensive Ther 2024; 56, 5: 295–304
DOI: https://doi.org/10.5114/ait.2024.146728
Online publish date: 2025/01/17
Article file
- Addition of flexible.pdf  [1.14 MB]
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1. Rugnath N, Rexrode LE, Kurnutala LN. Unanticipated difficult airway during elective surgery: a case report and review of literature. Cureus 2022; 14: e32996. DOI: 10.7759/cureus.32996.
2. Apfelbaum JL, Hagberg CA, Connis RT, Abdelmalak BB, Agarkar M, Dutton RP, et al. 2022 American Society of Anesthesiologists practice guidelines for management of the difficult airway. Anesthesiology 2022; 136: 31-81. DOI: 10.1097/ALN.0000000000004002.
3. Wong P, Iqbal R, Light KP, Williams E, Hayward J. Head and neck surgery in a tertiary centre: predictors of difficult airway and anaesthetic management. PoSH 2016; 25: 19-26. DOI: 10.1177/ 2010105815615995.
4. Pearson KL. Anaesthesia for laryngo-tracheal surgery, including tubeless field techniques. BJA Educ 2016; 17: 242-248. DOI: 10.1093/bjaed/mkx004.
5. Ferreira Setton AR, Davila JS, Gurgel RQ, Tsuji DH, Davila DV, Tavares CR. Variant of the technique for laryngeal microsurgery in cases of difficult laryngoscopy. Int Arch Otorhinolaryngol 2019; 23: 18-24. DOI: 10.1055/s-0038-1660825.
6. Nirgude A, Hemantkumar I. Anesthetic considerations in microlaryngoscopy and direct laryngoscopy. Int J Otorhinolaryngol Clin 2017; 9: 10-14. DOI: 10.5005/jp-journals-10003-1252.
7. Cherian VT, Vaida SJ. Airway management in laryngeal surgery. Oper Tech Otolayngol Head Neck Surg 2019; 30: 249-254. DOI: 10.1016/ j.otot.2019.09.005.
8. Hofmeyr R, Llewellyn R, Fagan JJ. Multidisciplinary difficult airway challenges: perioperative management of glottic and supraglottic tumors. Oper Tech Otolayngol Head Neck Surg 2020; 31: 120-127. DOI: 10.1016/j.otot.2020.04.008.
9. Sharma P, Khaund G, Agrawal V, Barman S, Baruah D. Microlaryngeal surgery – difficulties faced in perioperative and postoperative periods: a prospective study. Int J Phonosurg Laryngol 2021; 11: 46-49. DOI: 10.5005/jp-journals-10023-1226.
10. Li LT, Chitilian HV, Alfille PH, Bao X. Airway management and anes­thesia for airway surgery: a narrative review. Transl Lung Cancer Res 2021; 10: 4631-4642. DOI: 10.21037/tlcr-21-917.
11. Moon TS, Fox PE, Somasundaram A, Minhajuddin A, Gonzales MX, Pak TJ, Ogunnaike B. The influence of morbid obesity on difficult intubation and difficult mask ventilation. J Anesth 2019; 33: 96-102. DOI: 10.1007/s00540-018-2592-7.
12. Wang B, Zheng C, Yao W, Guo L, Peng H, Yang F, et al. Predictors of difficult airway in a Chinese surgical population: the gender effect. Minerva Anestesiol 2019; 85: 478-486. DOI: 10.23736/S0375-9393.18.12605-8.
13. Hindman BJ, Dexter F, Gadomski BC, Bucx MJ. Sex-specific intubation biomechanics: intubation forces are greater in male than in female patients, independent of body weight. Cureus 2020; 12: e8749. DOI: 10.7759/cureus.8749.
14. De Cassai A, Boscolo A, Rose K, Carron M, Navalesi P. Predictive parameters of difficult intubation in thyroid surgery: a meta-analysis. Minerva Anestesiol 2020; 86: 317-326. DOI: 10.23736/S0375-9393. 19.14127-2.
15. Oria MS, Halimi SA, Negin F, Asady A. Predisposing factors of difficult tracheal intubation among adult patients in Aliabad Teaching Hospital in Kabul, Afghanistan – a prospective observational study. Int J Gen Med 2022; 15: 1161-1169. DOI: 10.2147/IJGM.S348813.
16. Lee SY, Shih SC, Leu YS, Chang WH, Lin HC, Ku HC. Implications of age-related changes in anatomy for geriatric-focused difficult airways. Int J Gerontol 2017; 11: 130-133. DOI: 10.1016/j.ijge. 2016.11.003.
17. Uribe AA, Zvara DA, Puente EG, Otey AJ, Zhang J, Bergese SD. BMI as a predictor for potential difficult tracheal intubation in males. Front Med (Lausanne) 2015; 2: 38. DOI: 10.3389/fmed.2015.00038.
18. Wang T, Sun S, Huang S. The association of body mass index with difficult tracheal intubation management by direct laryngoscopy: a meta-analysis. BMC Anesthesiol 2018; 18: 79. DOI: 10.1186/s12871-018-0534-4.
19. Shailaja S, Nichelle SM, Shetty AK, Hegde BR. Comparing ease of intubation in obese and lean patients using intubation difficulty scale. Anesth Essays Res 2014; 8: 168-174. DOI: 10.4103/0259-1162.134493.
20. De Jong A, Molinari N, Pouzeratte Y, Verzilli D, Chanques G, Jung B, et al. Difficult intubation in obese patients: incidence, risk factors, and complications in the operating theatre and in intensive care units. Br J Anaesth 2015; 114: 297-306. DOI: 10.1093/bja/aeu373.
21. Seet E, Chung F, Wang CY, Tam S, Kumar CM, Ubeynarayana CU, et al. Association of obstructive sleep apnea with difficult intubation: prospective multicenter observational cohort study. Anesth Analg 2021; 133: 196-204. DOI: 10.1213/ANE.0000000000005479.
22. Kurtipek O, Isik B, Arslan M, Unal Y, Kizil Y, Kemaloglu Y. A study to investigate the relationship between difficult intubation and prediction criterion of difficult intubation in patients with obstructive sleep apnea syndrome. J Res Med Sci 2012; 17: 615-620.
23. Ozen V, Ozen N. Obstructive sleep apnea in surgical patients and its relationship with difficult intubation: two years of experience from a single center. Br J Anesth 2023; 73: 563-569. DOI: 10.1016/j.bjane. 2021.08.010.
24. Nerurkar NK, Hajela A, Sarkar A, Kulkarni P. A prospective study to correlate difficult intubation with difficult laryngeal exposure for microlaryngeal surgery using various grading scales of difficult intubation. Indian J Otolaryngol Head Neck Surg 2022; 74: 427-433. DOI: 10.1007/s12070-022-03108-y.
25. Riad W, Vaez MN, Raveendran R, Tam AD, Quereshy FA, Chung F, Wong DT. Neck circumference as a predictor of difficult intubation and difficult mask ventilation in morbidly obese patients: a prospective observational study. Eur J Anaesthesiol 2016; 33: 244-249. DOI: 10.1097/EJA.0000000000000324.
26. Seo SH, Lee JG, Yu SB, Kim DS, Ryu SJ, Kim KH. Predictors of difficult intubation defined by the intubation difficulty scale (IDS): predictive value of 7 airway assessment factors. Korean J Anesthesiol 2012; 63: 491-497. DOI: 10.4097/kjae.2012.63.6.491.
27. Mehta T, Jayaprakash J, Shah V. Diagnostic value of different screening tests in isolation or combination for predicting difficult intubation: a prospective study. Indian J Anaesth 2014; 58: 754-757. DOI: 10.4103/0019-5049.147176.
28. Sagün A, Özdemir L, Melikoğulları SB. The assessment of risk factors associated with difficult intubation as endocrine, musculoskeletal diseases and intraoral cavity mass: a nested case control study. Ulus Travma Acil Cerrahi Derg 2022; 28: 1270-1276. DOI: 10.14744/tjtes.2022.49551.
29. El-Radaideh K, Dheeb E, Shbool H, Garaibeh S, Bataineh A, Khraise W, El-Radaideh B. Evaluation of different airway tests to determine difficult intubation in apparently normal adult patients undergoing surgical procedures. Patient Saf Surg 2020; 14: 43. DOI: 10.1186/s13037-020-00263-5.
30. Lundstrøm LH, Vester-Andersen M, Møller AM, Charuluxananan S, L’hermite J, Wetterslev J. Danish Anaesthesia Database. Poor prognostic value of the modified Mallampati score: a meta-analysis involving 177 088 patients. Br J Anaesth 2011; 107: 659-667. DOI: 10.1093/ bja/aer292.
31. Ambesh SP, Singh N, Rao PB, Gupta D, Singh PK, Singh U. A combination of the modified Mallampati score, thyromental distance, anatomical abnormality, and cervical mobility (M-TAC) predicts difficult laryngoscopy better than Mallampati classification. Acta Anaesthesiol Taiwan 2013; 51: 58-62. DOI: 10.1016/j.aat.2013.06.005.
32. Bergler W, Maleck W, Baker-Schreyer A, Ungemach J, Petroianu G, Hörmann K. Der Mallampati-Score. Vorhersage der schwierigen Intubation in der HNO-Laserchirurgie mittels Mallampati-Score. Anaesthesist 1997; 46: 437-440. DOI: 10.1007/s001010050423.
33. Alp G, Koşucu M. Which test best predicts difficult endotracheal intubation? A prospective cohort study. Ulus Travma Acil Cerrahi Derg 2023; 29: 477-485. DOI: 10.14744/tjtes.2022.34460.
34. Sánchez-Morillo J, Estruch-Pérez MJ, Hernández-Cádiz MJ, Tamarit-Conejeros JM, Gómez-Diago L, Richart-Aznar M. Indirect laryngoscopy with rigid 70-degree laryngoscope as a predictor of difficult direct laryngoscopy. Acta Otorrinolaringol Esp 2012; 63: 272-279. DOI: 10.1016/j.otorri.2012.01.007.
35. Yamamoto K, Tsubokawa T, Shibata K, Ohmura S, Nitta S, Kobayashi T. Predicting Difficult Intubation with Indirect Laryngoscopy. Anesthesiology 1997; 86: 316-321. DOI: 10.1097/00000542-199702000-00007.
36. Budde AO, Desciak M, Reddy V, Falcucci OA, Vaida SJ, Pott LM. The prediction of difficult intubation in obese patients using mirror indirect laryngoscopy: a prospective pilot study. J Anaesthesiol Clin Pharmacol 2013; 29: 183-186. DOI: 10.4103/0970-9185.111685.
This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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