J 2021

Difficult airway prediction in paediatric anaesthesia (Diffair): prospective observational study

KLUČKA, Jozef, Martina KOSINOVÁ, Milan KRATOCHVÍL, Lukáš MAREČEK, Petra KOVALČÍKOVÁ et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30209 Paediatrics

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.648

RIV identification code

RIV/00216224:14110/21:00120622

Organization unit

Faculty of Medicine

UT WoS

000715922000010

Keywords in English

difficult airway; paediatric; prediction

Tags

International impact, Reviewed
Změněno: 21/2/2022 10:49, Mgr. Tereza Miškechová

Abstract

V originále

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 MU
Name: 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 MU
Name: Videolaryngoskopie vs. přímá laryngoskopie vliv na efektivitu intubace: randomizovaná kontrolovaná studie (Acronym: VidoeLarynx)
Investor: Masaryk University, Category A
MUNI/A/1153/2020, interní kód MU
Name: 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 MU
Name: 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 MU
Name: 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