Evidence map›Paper›PMID 31190847›Full record

ArticleTherapeutics and clinical risk management2019

Prediction of difficult airway management in traumatic cervical spine injury: influence of retropharyngeal space extension.

Jeongwoo Lee, Jeong Seob Kim, Sehrin Kang, Yu Seob Shin, A Ram Doo

Open access · goldAbstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Expert consensus on difficult airway assessment.Hepatobiliary surgery and nutrition · 2023
    Review
  5. Article
  6. Observational
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jeongwoo LeeDepartment of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, South Korea, ruiwin3518@gmail.com.
Jeong Seob KimDepartment of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, South Korea, ruiwin3518@gmail.com.
Sehrin KangDepartment of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, South Korea, ruiwin3518@gmail.com.
Yu Seob ShinResearch Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, South Korea, ruiwin3518@gmail.com.
A Ram DooDepartment of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, South Korea, ruiwin3518@gmail.com.
Jeonbuk National University Hospital · KRJeonbuk National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRetropharyngeal hematoma following cervical spine trauma may lead to life-threatening upper airway obstruction and difficult airway management. This retrospective study was performed to investigate whether the extension of retropharyngeal space (RPS) was associated with difficult intubation by direct laryngoscopy in traumatic cervical spine injury. PATIENTS AND

methodsSixty-two patients who had undergone direct endotracheal intubation under general anesthesia for cervical spine surgery were retrospectively identified. Laryngoscopic grade by Cormack-Lehane (C-L) classification was collected; grade 1 or 2 was categorized as easy laryngoscopy, whereas grade 3 or 4 was categorized as difficult laryngoscopy. In these patients, RPS thickness and the proportions of RPS to the vertebral bodies were measured at the 2nd, 5th and 7th cervical spine levels using magnetic resonance imaging (MRI) of the cervical spine. Measures of RPS were compared between easy and difficult laryngoscopy. Relationships between measures of RPS and difficult laryngoscopy were analyzed with logistic regression analysis.

resultsRPS thickness at C2 was significantly greater in difficult laryngoscopy (median 14.29 mm, IQR: 9.75-18.04) than easy laryngoscopy (median 5.10, IQR: 4.33-5.94,

conclusionRPS extension at the upper cervical spine level is associated with difficult direct laryngoscopy in traumatic cervical spine injury.

Indexed as

cervical spine injurydifficult airwayendotracheal intubationretropharyngeal space

Identifiers

PMID31190847
PMCPMC6526919
OpenAlexW2944916811

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.