Evidence map›Paper›PMID 32206918›Full record

Observational studyJournal of anesthesia2020

Prediction of failed facemask ventilation: new scoring system for difficult airway.

Tomoyuki Saito, Takashi Asai, Asuka Taguchi, Chew Tsong Huey Sophia, Weiling Liu, Kyu Kyu Thinn, Lian Kah Ti

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of anesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Tomoyuki SaitoDepartment of Anesthesia, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama, 343-8555, Japan. s-tomo@dokkyomed.ac.jp.
Takashi AsaiDepartment of Anesthesia, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama, 343-8555, Japan.
Asuka TaguchiDepartment of Anesthesia, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama, 343-8555, Japan.
Chew Tsong Huey SophiaDepartment of Anesthesia, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Weiling LiuDepartment of Anesthesia, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
Kyu Kyu ThinnDepartment of Anesthesia, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
Lian Kah TiDepartment of Anesthesia, National University Health System, 1E, Kent Ridge Road, Singapore, 119228, Singapore.
National University Health System · SGDokkyo Medical University Saitama Medical Center · JPSingapore General Hospital · SGSocial Insurance Saitama Chuo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe previously have shown that there was a strong correlation between failed facemask ventilation, failed ventilation through a supraglottic airway, and difficult tracheal intubation. The primary aim of this study was to evaluate whether or not an established method to predict difficult ventilation through a supraglottic airway was also useful for predicting failed facemask ventilation.

methodsThis was a single-center, retrospective observational study. We studied 28,081 anesthetized patients in whom ventilation through a facemask, and supraglottic airway was attempted as the initial technique during induction of anesthesia, between May 2011 and March 2016. For each patient, the score which had been validated to be useful for predicting difficult ventilation through a supraglottic airway was calculated. The score ranged between 0 and 7 points, and we defined a low risk when the score was 0-3, and a high risk when the score was 4-7. To measure and compare the predictive accuracy of the score, we generated a receiver operating characteristic curve and compared the area under the curve (AUC).

resultsThe incidence of failed facemask ventilation was significantly higher in patients with high-risk predictive score than in patients with low-risk predictive score [0.38% vs 0.056%, odds ratio 6.8 (95% CI 2.6-18.1, p value = 0.002)], and the sensitivity of the score was 25%, while the specificity was 95%, with a negative predictive value of 99%. The AUC of the score was 0.71 (95% CI 0.58-0.83).

conclusionsThe predictive score for difficult ventilation through a supraglottic airway is also useful to predict failed facemask ventilation.

Indexed as

MasksRespiration, ArtificialAirway ManagementArea Under CurveHumansIntubation, IntratrachealLungRespirationDifficult airway managementFailed facemask ventilationNew scoring system

Identifiers

PMID32206918
OpenAlexW3012842275

What OpenQuestion holds

Textmetadata
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.