Neck circumference as a predictor of difficult intubation and difficult mask ventilation in morbidly obese patients

European Journal of Anaesthesiology

Volumn 33, Issue 4, 2016, Pages 244-249

  Riad, Waleed ^a   Vaez, Mercedeh N ^b   Raveendran, Ravi ^a   Tam, Amanda D ^c   Quereshy, Fayez A ^d   Chung, Frances ^e   Wong, David T ^e  

^a TORONTO WESTERN HOSPITAL   (Canada)

^b WILFRID LAURIER UNIVERSITY   (Canada)

^c UNIVERSITY OF WATERLOO   (Canada)

^d UNIVERSITY OF TORONTO   (Canada)

^e UNIVERSITY OF TORONTO   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; BODY MASS; CONFERENCE PAPER; ENDOTRACHEAL INTUBATION; FEMALE; HUMAN; INTUBATION DIFFICULTLY SCALE; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; MIDDLE AGED; MORBID OBESITY; NECK CIRCUMFERENCE; PROSPECTIVE STUDY; RATING SCALE; RECEIVER OPERATING CHARACTERISTIC; SEX DIFFERENCE; SLEEP DISORDERED BREATHING; WAIST CIRCUMFERENCE; ADVERSE EFFECTS; ARTIFICIAL VENTILATION; COMPLICATION; DEVICES; ELECTIVE SURGERY; GENERAL ANESTHESIA; LARYNGEAL MASK; MULTIVARIATE ANALYSIS; NECK; OBESITY, MORBID; ONTARIO; PATHOLOGY; RISK ASSESSMENT; RISK FACTOR; STATISTICAL MODEL;

ADULT; ANESTHESIA, GENERAL; BODY MASS INDEX; ELECTIVE SURGICAL PROCEDURES; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; LARYNGEAL MASKS; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; NECK; OBESITY, MORBID; ONTARIO; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; RISK ASSESSMENT; RISK FACTORS;

EID: 84960894275     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1097/EJA.0000000000000324     Document Type: Conference Paper

References (20)

1. Bray GA. Definition, measurement and classification of the syndromes of obesity. Int J Obesity 1978; 2: 99-112
2. Adams JP, Murphy PG. Obesity in anaesthesia and intensive care. Br J Anaesth 2000; 85: 91-108
3. Collins JS, Lemmens HJ, Brodsky JB. Obesity and difficult intubation: where is the evidence? Anesthesiology 2006; 104: 618-619
4. 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
5. Juvin P, Lavaut E, Dupont H, et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg 2003; 97: 595-600
6. Gonzalez H, Minville V, Delanoue K, et al. The importance of increased neck circumference to intubation difficulties in obese patients. Anesth Analg 2008; 106: 1132-1136
7. Shah PN, Sundaram V. Incidence and predictors of difficult mask ventilation and intubation. J Anaesth Clin Pharmacol 2012; 28: 451-455
8. Neligan PJ, Porter S, Max B, et al. Obstructive sleep apnea is not a risk factor for difficult intubation in morbidly obese patients. Anesth Analg 2009; 109: 1182-1186
9. Brodsky JB, Lemmens HJ, Brock-Utne JG, et al. Morbid obesity and tracheal intubation. Anesth Analg 2002; 94: 732-736
10. Kheterpal S, Han R, Tremper KK, et al. Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology 2006; 105: 885-891
11. Langeron O, Masso E, Huraux C, et al. Prediction of difficult mask ventilation. Anesthesiology 2000; 92: 1229-1236
12. Yildiz TS, Solak M, Toker K. The incidence and risk factors of difficult mask ventilation. J Anesth 2005; 19: 7-11
13. El-Orbany M, Woehlck HJ. Difficult mask ventilation. Anesth Analg 2009; 109: 1870-1880
14. Han R, Tremper KK, Kheterpal S, O?Reilly M. Grading scale for mask ventilation. Anesthesiology 2004; 101: 267
15. Adnet F, Borron SW, Racine SX, et al. The intubation difficulty scale (IDS): proposal and evaluation of a new score characterizing the complexity of endotracheal intubation. Anesthesiology 1997; 87: 129012-129097
16. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39: 1105-1111
17. Kim WH, Ahn HJ, Lee CJ, et al. Neck circumference to thyromental distance ratio: a new predictor of difficult intubation in obese patients. Br J Anaesth 2011; 106: 743-748
18. Lundstrom LH, Moller AM, Rosenstock C, et al. 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: 266-274
19. Lavi R, Segal D, Ziser A. Predicting difficult airways using the intubation difficulty scale: a study comparing obese and nonobese patients. J Clin Anesth 2009; 21: 264-267
20. Collins JS, Lemmens HJ, Brodsky JB, et al. Laryngoscopy and morbid obesity: a comparison of the ?sniff? and ?ramped? positions. Obes Surg 2004; 14: 1171-1175