Prediction of difficult tracheal intubation in Turkish patients: a multi-center methodological study

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dc.authoridGanidagli, Suleyman/0000-0002-9644-7688;
dc.authorwosidGanidagli, Suleyman/AAV-2436-2021
dc.authorwosidToker, Kamil/AAX-3866-2020
dc.authorwosidKarsli, Bilge/C-2468-2016
dc.contributor.authorYildiz, T. S.
dc.contributor.authorKorkmaz, F.
dc.contributor.authorSolak, M.
dc.contributor.authorToker, K.
dc.contributor.authorErciyes, N.
dc.contributor.authorBayrak, F.
dc.contributor.authorGanidagli, S.
dc.date.accessioned2024-06-12T10:51:35Z
dc.date.available2024-06-12T10:51:35Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground and objective: Preoperative evaluation is important in the detection of patients at risk for difficult airway management. It is still unclear whether true prediction is possible and which variables should be chosen for evaluation. The aim of this prospective, multi-centre study was to investigate the incidence of difficult intubation, the sensitivity and positive predictive values of clinical screening tests and whether combining two or more of these tests will improve the prediction of difficult intubation in Turkish patients. Methods: Seven study sites from six regions in Turkey participated in this study. One thousand six hundred and seventy-four ASA physical status I-III patients, scheduled to undergo elective surgery under general anaesthesia, were included. Results: The incidence of difficult intubation was 4.8% and increased with age (P < 0.05). The incidence of difficult intubation was significantly higher in patients who had a Mallampati III or IV score, a decreased average thyromental and sternomental distance, decreased mouth opening, or decreased protrusion of the mandible (P < 0.05). Mouth opening and Mallampati III-IV were found to be the most sensitive criteria when used alone (43% and 35%, respectively). Combination of tests did not improve these results. Conclusions: There is still no individual test or a combination of tests that predict difficult intubations accurately. Tests with higher specificity despite low positive predictive value are needed.en_US
dc.identifier.doi10.1017/S026502150700052X
dc.identifier.endpage1040en_US
dc.identifier.issn0265-0215
dc.identifier.issn1365-2346
dc.identifier.issue12en_US
dc.identifier.pmid17555609en_US
dc.identifier.scopus2-s2.0-35948929408en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1034en_US
dc.identifier.urihttps://doi.org/10.1017/S026502150700052X
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18397
dc.identifier.volume24en_US
dc.identifier.wosWOS:000251893800007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofEuropean Journal Of Anaesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnaesthesia Generalen_US
dc.subjectIntubationen_US
dc.subjectLaryngoscopyen_US
dc.subjectAirway Assessment Testsen_US
dc.subjectMultivariate Risk Indexen_US
dc.subjectThyromental Distanceen_US
dc.subjectNational-Surveyen_US
dc.subjectAirway Equipmenten_US
dc.subjectManagementen_US
dc.subjectLaryngoscopyen_US
dc.subjectTestsen_US
dc.subjectAnesthesiologistsen_US
dc.subjectPerformanceen_US
dc.subjectPatternsen_US
dc.titlePrediction of difficult tracheal intubation in Turkish patients: a multi-center methodological studyen_US
dc.typeArticleen_US

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