Incidences and predictors of difficult laryngoscopy in adult patients undergoing general anesthesia: A single-center analysis of 102,305 cases

Journal of Anesthesia

Volumn 27, Issue 6, 2013, Pages 815-821

  Heinrich, S ^a   Birkholz, T ^a   Irouschek, A ^a   Ackermann, A ^a   Schmidt, J ^a  

^a UNIVERSITY HOSPITAL ERLANGEN   (Germany)

Author keywords

Airway management; Difficult airway; Poor laryngoscopic view

Indexed keywords

ADULT; AGED; ANESTHESIST; APPARENT LIFE THREATENING EVENT; ARTICLE; CLINICAL PRACTICE; EAR NOSE THROAT SURGERY; FEMALE; GENERAL ANESTHESIA; HEART SURGERY; HUMAN; LARYNGOSCOPY; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; MORBIDITY; PREDICTIVE VALUE; RISK ASSESSMENT; RISK FACTOR; SCORING SYSTEM; VOCAL CORD;

ADULT; AGED; ANESTHESIA, GENERAL; ANOXIA; FEMALE; HUMANS; INCIDENCE; LARYNGOSCOPY; MALE; MIDDLE AGED; PERIOPERATIVE CARE; RETROSPECTIVE STUDIES;

EID: 84891486601     PISSN: 09138668     EISSN: 14388359     Source Type: Journal    
DOI: 10.1007/s00540-013-1650-4     Document Type: Article

References (31)

1. Peterson GN, Domino KB, Caplan RA, Posner KL, Lee LA, Cheney FW. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33-9.
2. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003;98(5):1269-77.
3. Airway management. Guidelines of the German Society of Anesthesiology and Intensive Care Medicine. Anesth Intensivmed 2004;45:302-6.
4. Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anesthesia. 2004;59(7):675-94.
5. Barron FA, Ball DR, Jefferson P, Norrie J. 'Airway Alerts.' How UK anesthetists organise, document and communicate difficult airway management. Anaesthesia. 2003;58(1):73-7.
6. Stringer KR, Bajenov S, Yentis SM. Training in airway management. Anaesthesia. 2002;57(10):967-83.
7. Deller A. Incidence and predictability of difficult intubation. Anaesthesiol Intensivmed Notfallmed Schmerzther. 1995;30(3):169-71.
8. Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D, Liu PL. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anesth Soc J. 1985;32(4):429-34.
9. Rose DK, Cohen MM. The airway: problems and predictions in 18,500 patients. Can J Anesth. 1994;41(5 pt 1):372-83.
10. Safavi M, Honarmand A, Zare N. A comparison of the ratio of patient's height to thyromental distance with the modified Mallampati and the upper lip bite test in predicting difficult laryngoscopy. Saudi J Anesth. 2011;5(3):258-63.
11. Lundstrom LH, Vester-Andersen M, Moller AM, Charuluxananan S, L'Hermite J, Wetterslev J. Poor prognostic value of the modified Mallampati score: a meta-analysis involving 177 088 patients. Br J Anaesth. 2011;107(5):659-67.
12. Lundstrom LH, Moller AM, Rosenstock C, Astrup G, Wetterslev J. High body mass index is a weak predictor for difficult and failed tracheal intubation: a cohort study of 91,332 consecutive patients scheduled for direct laryngoscopy registered in the Danish Anesthesia Database. Anesthesiology. 2009;110(2):266-74.
13. Heinrich S, Horbach T, Salleck D, Birkholz T, Irouschek A, Schmidt J. Perioperative anesthesiological management in 167 patients undergoing bariatric surgery. Zentralbl Chir. 2011;136(6):604-11.
14. Cormack RS. Cormack-Lehane classification revisited. Br J Anesth. 2010;105(6):867-8.
15. 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(2):429-37.
16. Samsoon GL, Young JR. Difficult tracheal intubation: a retrospective study. Anaesthesia. 1987;42(5):487-90.
17. Lee A, Fan LT, Gin T, Karmakar MK. A systematic review (meta-analysis) of the accuracy of the Mallampati tests to predict the difficult airway. Anesth Analg. 2006;102(6):1867-78.
18. Adamus M, Fritscherova S, Hrabalek L, Gabrhelik T, Zapletalova J, Janout V. Mallampati test as a predictor of laryngoscopic view. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2010;154(4):339-43.
19. Tremblay MH, Williams S, Robitaille A, Drolet P. Poor visualization during direct laryngoscopy and high upper lip bite test score are predictors of difficult intubation with the GlideScope videolaryngoscope. Anesth Analg. 2008;106(5):1495-500.
20. Schmitt HJ, Kirmse M, Radespiel-Troger M. Ratio of patient's height to thyromental distance improves prediction of difficult laryngoscopy. Anesth Intensive Care. 2002;30(6):763-5.
21. Butler PJ, Dhara SS. Prediction of difficult laryngoscopy: an assessment of the thyromental distance and Mallampati predictive tests. Anesth Intensive Care. 1992;20(2):139-42.
22. Jin Huh H-YS, Kim S-H, Yoon T-K, Kim D-K. Diagnostic predictor of difficult laryngoscopy: the hyomental distance ratio. Anesth Analg. 2009;108:544-8.
23. Naguib M, Scamman FL, O'Sullivan C, Aker J, Ross AF, Kosmach S, Ensor JE. Predictive performance of three multivariate difficult tracheal intubation models: a double-blind, case-controlled study. Anesth Analg. 2006;102(3):818-24.
24. Kheterpal S, Martin L, Shanks AM, Tremper KK. Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics. Anesthesiology. 2009;110(4):891-7.
25. Lundstrom LH, Moller AM, Rosenstock C, Astrup G, Gatke MR, Wetterslev J. Avoidance of neuromuscular blocking agents may increase the risk of difficult tracheal intubation: a cohort study of 103,812 consecutive adult patients recorded in the Danish Anesthesia Database. Br J Anesth. 2009;103(2):283-90.
26. Goodwin MW, Pandit JJ, Hames K, Popat M, Yentis SM. The effect of neuromuscular blockade on the efficiency of mask ventilation of the lungs. Anesthesia. 2003;58(1):60-3.
27. Heinrich S, Birkholz T, Ihmsen H, Irouschek A, Ackermann A, Schmidt J. Incidence and predictors of difficult laryngoscopy in 11,219 pediatric anesthesia procedures. Paediatr Anesth. 2012;22(8):729-36.
28. Juvin P, Lavaut E, Dupont H, Lefevre P, Demetriou M, Dumoulin JL, Desmonts JM. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg. 2003;97(2):595-600.
29. 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 Anesth. 2003;50(2):179-83.
30. Ezri T, Weisenberg M, Khazin V, Zabeeda D, Sasson L, Shachner A, Medalion B. Difficult laryngoscopy: incidence and predictors in patients undergoing coronary artery bypass surgery versus general surgery patients. J Cardiothorac Vasc Anesth. 2003;17(3):321-4.
31. Arsenijevic S, Pantovic V, Gledovic Z, Stojanovic J, Belic B. Demographic characteristics of patients with laryngeal cancer and their socioeconomic status. J BUON. 2010;15(1):131-35.