Ultrasound quantification of anterior soft tissue thickness fails to predict difficult laryngoscopy in obese patients

Anaesthesia and Intensive Care

Volumn 35, Issue 1, 2007, Pages 32-37

  Komatsu, R ^a   Sengupta, P ^a   Wadhwa, A ^b   Akca O ^b   Sessler, D I ^b,c   Ezri, T ^d   Lenhardt, R ^b  

^a UNIVERSITY OF LOUISVILLE   (United States)

^b University of Louisville School of Medicine   (United States)

^c LERNER RESEARCH INSTITUTE   (United States)

^d Wolfson Medical Centre   (Israel)

Author keywords

Complications; Intubation tracheal; Measurement techniques; Obesity; Ultrasound

Indexed keywords

ADULT; AGE; ARTICLE; BODY MASS; CONTROLLED STUDY; ECHOGRAPHY; ENDOTRACHEAL INTUBATION; FEMALE; HUMAN; JAW MOVEMENT; LARYNGOSCOPY; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; NECK; OBESITY; PREDICTION; RACE DIFFERENCE; SCORING SYSTEM; SEX DIFFERENCE; SKIN; SLEEP APNEA SYNDROME; SOFT TISSUE; TOOTH DISEASE; TRACHEA; UNITED STATES; VOCAL CORD;

ADULT; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; LARYNGOSCOPY; LOGISTIC MODELS; MALE; MIDDLE AGED; NECK; OBESITY, MORBID; PROSPECTIVE STUDIES; RISK FACTORS; SLEEP APNEA, OBSTRUCTIVE;

EID: 33847397053     PISSN: 0310057X     EISSN: None     Source Type: Journal    
DOI: 10.1177/0310057x0703500104     Document Type: Article

References (23)

1. Bond A. Obesity and difficult intubation. Anaesth Intensive Care 1993; 21:828-830.
2. Ezri T, Medalion B, Weisenberg M, Szmuk P, Warters RD, Charuzi I. Increased body mass index per se is not a predictor of difficult laryngoscopy. Can J Anaesth 2003; 50:179-183.
3. Brodsky JB, Lemmens HJ, Brock-Utne JG, Vierra M, Saidman LJ. Morbid obesity and tracheal intubation. Anesth Analg 2002; 94:732-736.
4. Hiremath AS, Hillman DR, James AL, Noffsinger WJ, Platt PR, Singer SL. Relationship between difficult tracheal intubation and obstructive sleep apnoea. Br J Anaesth 1998; 80:606-611.
5. Benumof JL. Obstructive sleep apnea in the adult obese patient: implications for airway management. J Clin Anesth 2001; 13:144-156.
6. Rocke DA, Murray WB, Rout CC, Gouws E. Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia. Anesthesiology 1992; 77:67-73.
7. Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients. A meta-analysis of bedside screening test performance. Anesthesiology 2005; 103:429-437.
8. Ezri T, Gewurtz G, Sessler DI, Medalion B, Szmuk P. Hagberg C et al. Prediction of difficult laryngoscopy in obese patients by ultrasound quantification of anterior neck soft tissue. Anaesthesia 2003; 58:1111-1114.
9. Abraham S, Johnson CL. Prevalence of severe obesity in adults in the United States. Am J Clin Nutr 1980; 33:364-369.
10. Vaughan RS: Predicting a difficult intubation. In: Latto IP, Vaughan RS, ed. Difficulties in tracheal intubation. 2nd Edition. London, WB Saunders, 1997; 80-81.
11. Samsoon GL, Young JR. Difficult tracheal intubation: a retrospective study. Anaesthesia 1987; 42:487-490.
12. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39:1105-1111.
13. Takahata O, Kubota M, Mamiya K, Akama Y, Nozaka T, Matsumoto H et al. The efficacy of the "BURP" maneuver during a difficult laryngoscopy. Anesth Analg 1997; 84:419-421.
14. Zillikens MC, Conway JM. Anthropometry in blacks: applicability of generalized skinfold equations and differences in fat patterning between blacks and whites. Am J Clin Nutr 1990; 52:45-51.
15. Craig P, Halavatau V, Comino E, Caterson I. Differences in body composition between Tongans and Australians: time to rethink the healthy weight ranges? Int J Obes Relat Metab Disord 2001; 25:1806, 1814.
16. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999-2000. JAMA 2002; 288:1723-1727.
17. Rose DK, Cohen MM. The airway: problems and predictions in 18,500 patients. Can J Anaesth 1994; 41:372-383.
18. Schwab RJ, Gupta KB, Gefter WB, Metzger LJ, Hoffman EA, Pack AI. Upper airway and soft tissue anatomy in normal subjects and patients with sleep-disordered breathing. Significance of the lateral pharyngeal walls. Am J Resp Crit Care Med 1995; 152:1673-1689.
19. Homer RL, Mohiaddin RH, Lowell DG, Shea SA, Burman ED, Longmore DB et al. Sites and sizes of fat deposits around the phatynx in obese patients with obstructive sleep apnoea and weight matched controls. Eur Respir J 1989; 2:613-622.
20. Shelton KE, Woodson H, Gay S, Suratt PM. Pharyngeal fat in obstructive sleep apnea. Am Rev Respir Dis 1993; 148:462-466.
21. Mortimore IL, Marshall I, Wraith PK, Sellar RJ, Douglas NJ. Neck and total body fat deposition in nonobese and obese patients with sleep apnea compared with that in control subjects. Am J Respir Crit Care Med 1998; 157:280-283.
22. Caballero P, Alvarez-Sala R, Garcia-Rio F, Prados C, Hernan MA, Villamor J, Alvarez-Sala JL. CT in the evaluation of the upper airway in healthy subjects and in patients with obstructive sleep apnea syndrome. Chest 1998; 113:111-116.
23. Oates JD, Macleod AD, Oates PD, Pearsall FJ, Howie JC, Murray GD. Comparison of two methods for predicting difficult intubation. Br J Anaesth 1991; 66:305-309.