KLUČKA, Jozef, Martina KOSINOVÁ, Milan KRATOCHVÍL, Lukáš MAREČEK, Petra KOVALČÍKOVÁ, Milan URÍK and Petr ŠTOURAČ. Difficult airway prediction in paediatric anaesthesia (Diffair): prospective observational study. Biomedical Papers. Olomouc: Univerzita Palackého v Olomouci, 2021, vol. 165, No 3, p. 298-304. ISSN 1213-8118. Available from: https://dx.doi.org/10.5507/bp.2020.020.
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Basic information
Original name Difficult airway prediction in paediatric anaesthesia (Diffair): prospective observational study
Authors KLUČKA, Jozef (703 Slovakia, belonging to the institution), Martina KOSINOVÁ (203 Czech Republic, belonging to the institution), Milan KRATOCHVÍL (703 Slovakia, belonging to the institution), Lukáš MAREČEK (203 Czech Republic, belonging to the institution), Petra KOVALČÍKOVÁ (203 Czech Republic, belonging to the institution), Milan URÍK (703 Slovakia, guarantor, belonging to the institution) and Petr ŠTOURAČ (203 Czech Republic, belonging to the institution).
Edition Biomedical Papers, Olomouc, Univerzita Palackého v Olomouci, 2021, 1213-8118.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30209 Paediatrics
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.648
RIV identification code RIV/00216224:14110/21:00120622
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.5507/bp.2020.020
UT WoS 000715922000010
Keywords in English difficult airway; paediatric; prediction
Tags 14110319, 14110322, 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 21/2/2022 10:49.
Abstract
Background: The incidence of difficult airway in paediatric patients is lower than that the adult population, and the majority should be predictable. Aims: The primary aim of this trial was to evaluate the incidence of difficult airway in pediatric patients. The secondary aim was to predict difficult airway in these patients. Methods: Paediatric patients undergoing elective surgery under general anaesthesia in a tertiary university hospital were examined, and a panel of difficult airway prediction tests was performed. We recorded the incidence, risk factors for difficult airway and events associated with difficult airway together with the sensitivity and specificity of tests for difficult airway and events associated with difficult airway prediction. Results: We prospectively included 389 paediatric patients. The incidence of difficult airway was 3.6%; the incidence of events associated with difficult airway was 10%. The sensitivity for prediction of events associated with difficult airway during the pre-anaesthesia evaluation was 5.3% with the specificity 93.3%. In the operating room, the sensitivity of prediction was 15% with 97.8% specificity. Conclusion: We found minimal efficacy for preanaesthesia difficult airway prediction.
Links
MUNI/A/0943/2019, interní kód MUName: Protektivní plicní ventilace během celkové anestezie a intenzivní péče u pediatrických pacientů: retrospektivní studie (Acronym: TIVAC)
Investor: Masaryk University, Category A
MUNI/A/1111/2018, interní kód MUName: Videolaryngoskopie vs. přímá laryngoskopie vliv na efektivitu intubace: randomizovaná kontrolovaná studie (Acronym: VidoeLarynx)
Investor: Masaryk University, Category A
MUNI/A/1153/2020, interní kód MUName: Simulační trénink v identifikaci a prevenci kritických událostí v anesteziologii a intenzivní medicíně II. (Acronym: SIMUCRITICAL)
Investor: Masaryk University
MUNI/A/1178/2020, interní kód MUName: Protektivní plicní ventilace během celkové anestezie a intenzivní péče u pediatrických pacientů: retrospektivní studie II (Acronym: TIVAC 2)
Investor: Masaryk University
ROZV/28/LF9/2020, interní kód MUName: Optimalizace periopererační péče u pediatrických pacientů, Časná identifikace sepse, možnosti monitorace a optimalizace hemodynamiky u kriticky nemocného pediatrického pacienta
Investor: Ministry of Education, Youth and Sports of the CR, Internal development projects
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