Prediction of difficult mask ventilation using a systematic assessment of risk factors vs. existing practice – a cluster randomised clinical trial in 94,006 patients

Anaesthesia

Volumn 72, Issue 3, 2017, Pages 296-308

  Norskov A K ^a,b   Wetterslev, J ^b   Rosenstock, C V ^a   Afshari, A ^b   Astrup, G ^c   Jakobsen, J C ^b,d   Thomsen, J L ^e   Lundstrom L H ^a   Bottger M ^b   Ellekvist, M ^b   Schousboe, B M B ^b   Horn, A ^f   Jorgensen B G ^g   Lorentzen, K ^h   Madsen, M H ^a   Knudsen, J S ⁱ   Thisted, B K ^j   Estrup, S ^k   Mieritz, H B ^l   Klesse, T ^m   Martinussen, H J ⁿ   Vedel, A G ^b   Maaloe R ^o   Bosling K B ^p   Kirkegaard, P R C ^q   Ibanez C R ^r   Aleksandraviciute, G ^s   Hansen, L S ^t   Mantoni, T ^b   more..

^a HILLERØD HOSPITAL   (Denmark)

^b Rigshospitalet   (Denmark)

^c AARHUS UNIVERSITY HOSPITAL   (Denmark)

^d HOLBÆK HOSPITAL   (Denmark)

^e GENTOFTE UNIVERSITY HOSPITAL   (Denmark)

^f Department of Anaesthesiology   (Denmark)

^g FREDERIKSBERG HOSPITAL   (Denmark)

^h GLOSTRUP UNIVERSITY HOSPITAL   (Denmark)

ⁱ KOLDING HOSPITAL   (Denmark)

^j Department of Anaesthesiology   (Denmark)

^k NYKØBING FALSTER HOSPITAL   (Denmark)

^l Department of Surgery   (Denmark)

^m Sønderborg Hospital   (Denmark)

ⁿ Private Hospital Kollund   (Denmark)

^o BISPEBJERG HOSPITAL   (Denmark)

^p ROSKILDE HOSPITAL   (Denmark)

^q NAESTVED HOSPITAL   (Denmark)

^r Haderslev Hospital   (Denmark)

^s Thy Mors Hospital   (Denmark)

^t LILLEBAELT HOSPITAL   (Denmark)

more..

Author keywords

airway management; cluster analysis; mask ventilation; pre operative care; randomised controlled trial

Indexed keywords

ANESTHESIA; CLINICAL TRIAL; CLUSTER ANALYSIS; CONTROL GROUP; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DATA BASE; HUMAN; INTUBATION; MAJOR CLINICAL STUDY; PREDICTION; RANDOMIZED CONTROLLED TRIAL; RESPIRATION CONTROL; RISK FACTOR; ADULT; AGED; ARTIFICIAL VENTILATION; FEMALE; MALE; MASK; MIDDLE AGED; MULTICENTER STUDY; PREOPERATIVE CARE; PROCEDURES; PROGNOSIS; RISK ASSESSMENT;

ADULT; AGED; AIRWAY MANAGEMENT; CLUSTER ANALYSIS; FEMALE; HUMANS; MALE; MASKS; MIDDLE AGED; PREOPERATIVE CARE; PROGNOSIS; RESPIRATION, ARTIFICIAL; RISK ASSESSMENT; RISK FACTORS;

EID: 85006124984     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/anae.13701     Document Type: Article

References (29)

1. Cook TM, Woodall N, Frerk C. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. British Journal of Anaesthesia 2011; 106: 617–31.
2. Cook TM, Macdougall-Davis SR. Complications and failure of airway management. British Journal of Anaesthesia 2012; 109: i68–85.
3. Apfelbaum JL, Hagberg CA, Caplan RA, et al. 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 2013; 118: 251–70.
4. Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management–part 1–difficult tracheal intubation encountered in an unconscious/induced patient. Canadian Journal of Anesthesia 2013; 60: 1089–118.
5. Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. British Journal of Anaesthesia 2015; 115: 827–48.
6. Hung O, Law JA, Morris I, Murphy M. Airway assessment before intervention: what we know and what we do. Anesthesia and Analgesia 2016; 122: 1752–4.
7. Kheterpal S, Han R, Tremper KK, et al. Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology 2006; 105: 885–91.
8. Kheterpal S, Martin L, Shanks AM, Tremper KK. Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics. Anesthesiology 2009; 110: 891–7.
9. Nørskov AK, Rosenstock CV, Wetterslev J, Astrup G, Afshari A, Lundstrøm LH. Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188 064 patients registered in the Danish Anaesthesia Database. Anaesthesia 2015; 70: 272–81.
10. Langeron O, Masso E, Huraux C, et al. Prediction of difficult mask ventilation. Anesthesiology 2000; 92: 1229–36.
11. Kheterpal S, Healy D, Aziz MF, et al. Incidence, predictors, and outcome of difficult mask ventilation combined with difficult laryngoscopy: a report from the multicenter perioperative outcomes group. Anesthesiology 2013; 119: 1360–9.
12. Riley RD, Hayden JA, Steyerberg EW, et al. Prognosis Research Strategy (PROGRESS) 2: prognostic factor research. PLoS Medicine 2013; 10: e1001380.
13. Steyerberg EW, Moons KGM, van der Windt DA, et al. Prognosis Research Strategy (PROGRESS) 3: prognostic model research. PLoS Medicine 2013; 10: e1001381.
14. Moons KGM, Altman DG, Vergouwe Y, Royston P. Prognosis and prognostic research: application and impact of prognostic models in clinical practice. BMJ 2009; 338: b606.
15. El-Ganzouri AR, McCarthy RJ, Tuman KJ, Tanck EN, Ivankovich AD. Preoperative airway assessment: predictive value of a multivariate risk index. Anesthesia and Analgesia 1996; 82: 1197–204.
16. Nørskov AK, Rosenstock CV, Wetterslev J, Lundstrøm LH. Incidence of unanticipated difficult airway using an objective airway score versus a standard clinical airway assessment: the DIFFICAIR trial – trial protocol for a cluster randomized clinical trial. Trials 2013; 14: 347.
17. Nørskov AK, Wetterslev J, Rosenstock CV, et al. Effects of using the simplified airway risk index vs usual airway assessment on unanticipated difficult tracheal intubation – a cluster randomized trial with 64,273 participants. British Journal of Anaesthesia 2016; 116: 680–9.
18. Nørskov AK, Lundstrøm LH, Rosenstock CV, Wetterslev J. Detailed statistical analysis plan for the difficult airway management (DIFFICAIR) trial. Trials 2014; 15: 173.
19. Campbell MK, Piaggio G, Elbourne DR, Altman DG. Consort 2010 statement: extension to cluster randomised trials. BMJ 2012; 345: e5661.
20. Shiga T, Wajima Z, Inoue T, Sakamoto S, Sakamoto A. Predicting difficult intubation in apparently normal patients. Anesthesiology 2005; 103: 429–37.
21. Lundstrøm LH, Møller AM, Rosenstock C, Astrup G, Gätke MR, Wetterslev J. A documented previous difficult tracheal intubation as a prognostic test for a subsequent difficult tracheal intubation in adults. Anaesthesia 2009; 64: 1081–8.
22. Antonsen K, Rosenstock CV, Lundstrøm LH. The Danish Anaesthesia Database. Clinical Epidemiology 2016; in press.
23. Nørskov AK, Rosenstock CV, Lundstrøm LH. Lack of national consensus in preoperative airway assessment. Danish Medical Journal 2016; 63: A5278.
24. Han R, Tremper K, Kheterpal S, O'Reilly M. Grading scale for mask ventilation. Anesthesiology 2004; 101: 267.
25. Kahan B, Morris T. Reporting and analysis of trials using stratified randomisation in leading medical journals: review and reanalysis. BMJ 2012; 345: e5840.
26. Klar N, Donner A. Current and future challenges in the design and analysis of cluster randomization trials. Statistics in Medicine 2001; 20: 3729–40.
27. Kahan BC, Morris TP. Assessing potential sources of clustering in individually randomised trials. BMC Medical Research Methodology 2013; 13: 58.
28. Pandit JJ. Checking the ability to mask ventilate before administering long-acting neuromuscular blocking drugs. Anaesthesia 2011; 66: 520–2.
29. Goodwin MWP, Pandit JJ, Hames K, Popat M, Yentis SM. The effect of neuromuscular blockade on the efficiency of mask ventilation of the lungs. Anaesthesia 2003; 58: 60–3.