COMPARISON OF TOTAL AIRWAY SCORES AND INTUBATION DIFFICULTY SCORES IN DENTAL PROCEDURES PERFORMED UNDER GENERAL ANESTHESIA: A RETROSPECTIVE STUDY

Hatice Akpınar; Müge Çına; Berfin Öykü Erdoğan

Makale detayları

COMPARISON OF TOTAL AIRWAY SCORES AND INTUBATION DIFFICULTY SCORES IN DENTAL PROCEDURES PERFORMED UNDER GENERAL ANESTHESIA: A RETROSPECTIVE STUDY

Yazarlar:

Hatice Akpınar | Müge Çına | Berfin Öykü Erdoğan

Yayıncı:

Erciyes University

Ana Başlıklar:

Diş Hekimliği

Dergi:

Sağlık Bilimleri Dergisi Vol.32 Issue Ek Sayı, pp.1-7

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001306083

pISSN:

1018-3655

Anahtar kelimeler:

Özet:

 The Total Airway Score, determined by eight bedside tests during the preoperative period, and the Intubation Difficulty Scale, assigned during intubation, are both used to describe and predict difficult intubation. The aim of this study is to investigate the correlation between the Total Airway Score and the Intubation Difficulty Scale.Two hundred,American Society of Anesthesiologists ASA 1-3 patients elective dental treatment, maxillofacial surgery under general anesthesia were included in the study. Airway evaluation was performed preoperatively by total airway score which were; Mallampati classification, thyromental and sternomental distance measurement, head and neck mobility,body mass index BMI, presence of buck teeth, inter incisors gap, upper lip bite test. After endotracheal intubation, the patients were divided into two groups as a healthy group intubation difficulty scale IDS4 and difficult intubation IDS 4 according to their estimated difficult intubation scores with seven variables and compared with patients with total airway score  3 in two groups. In this study, total airway score  3, thyromental distance 6cm, upper lip bite test class III, mallampati classification  class III, inter incisors gap 3 cm and buck teeth  0.5 respectively 49.45 95 CI  4.75-515.45, P 0.05 7.72 95 CI  1.81-32.9, P 0.05, 21.12 95 CI  2.31-192.27, P 0.05, 1.92 CI 95  0.51-7.22, 3.54 95 CI- 2.31 95 CI  0.49-10.78 was detected.It is concluded that total airway score  3, upper lip bite test class III,thyromental distance measurement 6 cm, which we use in predicting difficult intubation are the most useful preoperative evaluation factors.

 The Total Airway Score, determined by eight bedside tests during the preoperative period, and the Intubation Difficulty Scale, assigned during intubation, are both used to describe and predict difficult intubation. The aim of this study is to investigate the correlation between the Total Airway Score and the Intubation Difficulty Scale.Two hundred,American Society of Anesthesiologists ASA 1-3 patients elective dental treatment, maxillofacial surgery under general anesthesia were included in the study. Airway evaluation was performed preoperatively by total airway score which were; Mallampati classification, thyromental and sternomental distance measurement, head and neck mobility,body mass index BMI, presence of buck teeth, inter incisors gap, upper lip bite test. After endotracheal intubation, the patients were divided into two groups as a healthy group intubation difficulty scale IDS4 and difficult intubation IDS 4 according to their estimated difficult intubation scores with seven variables and compared with patients with total airway score  3 in two groups. In this study, total airway score  3, thyromental distance 6cm, upper lip bite test class III, mallampati classification  class III, inter incisors gap 3 cm and buck teeth  0.5 respectively 49.45 95 CI  4.75-515.45, P 0.05 7.72 95 CI  1.81-32.9, P 0.05, 21.12 95 CI  2.31-192.27, P 0.05, 1.92 CI 95  0.51-7.22, 3.54 95 CI- 2.31 95 CI  0.49-10.78 was detected.It is concluded that total airway score  3, upper lip bite test class III,thyromental distance measurement 6 cm, which we use in predicting difficult intubation are the most useful preoperative evaluation factors.

 The Total Airway Score, determined by eight bedside tests during the preoperative period, and the Intubation Difficulty Scale, assigned during intubation, are both used to describe and predict difficult intubation. The aim of this study is to investigate the correlation between the Total Airway Score and the Intubation Difficulty Scale.Two hundred,American Society of Anesthesiologists ASA 1-3 patients elective dental treatment, maxillofacial surgery under general anesthesia were included in the study. Airway evaluation was performed preoperatively by total airway score which were; Mallampati classification, thyromental and sternomental distance measurement, head and neck mobility,body mass index BMI, presence of buck teeth, inter incisors gap, upper lip bite test. After endotracheal intubation, the patients were divided into two groups as a healthy group intubation difficulty scale IDS4 and difficult intubation IDS 4 according to their estimated difficult intubation scores with seven variables and compared with patients with total airway score  3 in two groups. In this study, total airway score  3, thyromental distance 6cm, upper lip bite test class III, mallampati classification  class III, inter incisors gap 3 cm and buck teeth  0.5 respectively 49.45 95 CI  4.75-515.45, P 0.05 7.72 95 CI  1.81-32.9, P 0.05, 21.12 95 CI  2.31-192.27, P 0.05, 1.92 CI 95  0.51-7.22, 3.54 95 CI- 2.31 95 CI  0.49-10.78 was detected.It is concluded that total airway score  3, upper lip bite test class III,thyromental distance measurement 6 cm, which we use in predicting difficult intubation are the most useful preoperative evaluation factors.

 Toplam hava yolu skoru, preoperatif muayene sırasında 8 yatak başı testi ile belirlendi. Entübasyon sırasında, Entübasyon Zorluk Ölçeği ile zor entübasyon puanı belirlendi. Her iki değer birbiri ile karşılaştırıldı. Bu çalışma toplam hava yolu skoru ile zor entübasyon uyumuna bakmak amacıyla yapıldı.Çalışmaya genel anestezi altında elektif diş tedavisi, maksillofasiyal cerrahi olan 200Amerikan Anestezistler DerneğiASA 1-3 hasta dahil edildi. Hava yolu değerlendirmesi ameliyat öncesi toplam hava yolu skoru; Mallampati sınıflaması, tiromental ve sternomental mesafe ölçümü, baş ve boyun mobilitesi, vücut kitle indeksi VKİ, tavşan dişlerin varlığı, kesici dişler arası boşluk, üst dudak ısırma testleri ile belirlendi. Endotrakeal entübasyon sonrası hastalar yedi değişkenli tahmini zor entübasyon skorlarına göre sağlıklı grup entübasyon zorluk skoru IDS4 ve zor entübasyon IDS 4 olmak üzere iki gruba ayrıldı ve her iki grup toplam hava yolu skoru  3 olan hastalarla karşılaştırıldı. Bu çalışmada toplam hava yolu skoru  3, tiromental mesafe 6cm, üst dudak ısırma testi sınıf III, mallampati sınıflaması  sınıf III, kesici dişler aralığı 3 cm ve tavşan dişlerin öne protrüzyonu   0.5cm olması zor entübasyon lehine değerlendirildi. İstatistiksel olarak sırasıyla 49.45 95 GA  4.75-515.45, P 0.05 7.72 95 CI  1.81-32.9, P 0.05, 21.12 95 CI  2.31-192.27, P 0.05, 1.92  CI 95  0.51-7.22, 3.54 95 CI- 2.31 95 CI  0.49-10.78 saptandı.Zor entübasyonu öngörmede kullandığımız total hava yolu skoru  3, üst dudak ısırma testi sınıf III, tiromental mesafe ölçümünün 6 cm en yararlı preoperatif değerlendirme faktörleri olduğu sonucuna varıldı.

Makale detayları

COMPARISON OF TOTAL AIRWAY SCORES AND INTUBATION DIFFICULTY SCORES IN DENTAL PROCEDURES PERFORMED UNDER GENERAL ANESTHESIA: A RETROSPECTIVE STUDY

Yazarlar:

Hatice Akpınar | Müge Çına | Berfin Öykü Erdoğan

Yayıncı:

Erciyes University

Ana Başlıklar:

Diş Hekimliği

Dergi:

Sağlık Bilimleri Dergisi Vol.32 Issue Ek Sayı, pp.1-7

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001306083

pISSN:

1018-3655

Dental care

general anesthesia

intubation.Diş bakımı

genel anestezi

entübasyon.

Sayı

Makale detayları

COMPARISON OF TOTAL AIRWAY SCORES AND INTUBATION DIFFICULTY SCORES IN DENTAL PROCEDURES PERFORMED UNDER GENERAL ANESTHESIA: A RETROSPECTIVE STUDY

Yazarlar: Hatice Akpınar | Müge Çına | Berfin Öykü Erdoğan

Yayıncı: Erciyes University

Ana Başlıklar: Diş Hekimliği

Dergi: Sağlık Bilimleri Dergisi Vol.32 Issue Ek Sayı, pp.1-7

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001306083

pISSN: 1018-3655

Dental care

general anesthesia

intubation.Diş bakımı

genel anestezi

entübasyon.

Sayı

Yazarlar:

Hatice Akpınar | Müge Çına | Berfin Öykü Erdoğan

Yayıncı:

Erciyes University

Ana Başlıklar:

Diş Hekimliği

Dergi:

Sağlık Bilimleri Dergisi Vol.32 Issue Ek Sayı, pp.1-7

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001306083

pISSN:

1018-3655