Evidence map›Paper›PMID 34297257›Full record

Observational studyObesity surgery2021

Multivariate Analysis of the Failure Risk of First Tracheal Intubation Attempt in a Population of Patients Scheduled for Bariatric Surgery.

Michel Galinski, Marine Chouteau, Gessica Lunghi, Marianne Vinurel, Béatrice Blazy, Mouni Cher, Bruno Alouane, Hélène Bento, Jean-Louis Germain, Christophe Barrat and 3 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

13 authors.

Michel GalinskiEmergency Department - SAMU, Pellegrin Hospital, Bordeaux University Hospital, CHU de Bordeaux, F-33076, Bordeaux Cedex, France. michel.galinski@chu-bordeaux.fr.ORCID http://orcid.org/0000-0001-9304-339X
Marine ChouteauDepartment of Anesthesiology and Critical Care Medicine, Cochin University Hospital, Paris Descartes University, Assistance Publique-Hôpitaux de Paris, Paris, France.
Gessica LunghiDepartment of Anesthesiology, Jean Verdier University Hospital, Paris 13 University, Assistance Publique-Hôpitaux de Paris, Bondy, Paris, France.
Marianne VinurelDepartment of Anesthesiology, Jean Verdier University Hospital, Paris 13 University, Assistance Publique-Hôpitaux de Paris, Bondy, Paris, France.
Béatrice BlazyDepartment of Anesthesiology, Jean Verdier University Hospital, Paris 13 University, Assistance Publique-Hôpitaux de Paris, Bondy, Paris, France.
Mouni CherDepartment of Anesthesiology, Jean Verdier University Hospital, Paris 13 University, Assistance Publique-Hôpitaux de Paris, Bondy, Paris, France.
Bruno AlouaneDepartment of Anesthesiology, Jean Verdier University Hospital, Paris 13 University, Assistance Publique-Hôpitaux de Paris, Bondy, Paris, France.
Hélène BentoDepartment of Anesthesiology, Jean Verdier University Hospital, Paris 13 University, Assistance Publique-Hôpitaux de Paris, Bondy, Paris, France.
Jean-Louis GermainDepartment of Anesthesiology, Jean Verdier University Hospital, Paris 13 University, Assistance Publique-Hôpitaux de Paris, Bondy, Paris, France.
Christophe BarratDepartment of Digestive and Metabolic Surgery, Jean Verdier University Hospital, Paris 13 University, Assistance Publique-Hôpitaux de Paris, Bondy, Paris, France.
Jean CatineauDepartment of Anesthesiology and Critical Care Medicine, Princesse Grace Hospital, 98010, Monaco, Monaco.
Cédric Gil-JardinéEmergency Department - SAMU, Pellegrin Hospital, Bordeaux University Hospital, CHU de Bordeaux, F-33076, Bordeaux Cedex, France.
Christophe BaillardDepartment of Anesthesiology and Critical Care Medicine, Cochin University Hospital, Paris Descartes University, Assistance Publique-Hôpitaux de Paris, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAirway management during the administration of anesthesia to patients undergoing bariatric surgery is challenging. The goal is to avoid multiple intubation attempts because the risk of complications increases with the number of attempts. The objective of this study was to determine the failed first intubation attempt rate, as well as variables associated with this failure, in patients undergoing bariatric surgery.

methodsWe enrolled patients scheduled for bariatric surgery in this prospective, observational, single-center study. We determined predictive criteria for difficult intubation at the preoperative anesthesia consultation. All patients were evaluated for obstructive sleep apnea by polygraphy. The primary study endpoint was a failed first intubation attempt.

resultsWe enrolled 519 patients between December 2012 and January 2015. The cohort consisted of 425 women (82%), with a median (interquartile range [IQR]) age of 39 (30-50) years and a body mass index of 42 (39-46) kg/m

conclusionsIn this morbidly obese population, the first intubation attempt failed in 11.5% of patients, and the risk factors for failure were male sex and a high Mallampati score.

Indexed as

Bariatric SurgeryObesity, MorbidAdultFemaleHumansIntubation, IntratrachealLaryngoscopyMaleMiddle AgedMultivariate AnalysisProspective StudiesAirway assessmentBariatric surgeryDifficult tracheal intubationMorbid obesity

Identifiers

PMID34297257

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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.