Evidence map›Paper›PMID 39917979›Full record

ArticleAnaesthesiology intensive therapy2024

Addition of flexible laryngoscopy to anesthesiological parameters improves prediction of difficult intubation in laryngeal surgery.

Danica Marković, Maja Šurbatović, Dušan Milisavljević, Vesna Marjanović, Toma Kovačević, Milan Stanković

Abstract read
In one paragraph

Article in Anaesthesiology intensive therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Danica MarkovićClinic for Anesthesiology and Intensive Therapy, University Clinical Center in Niš, Niš, Serbia.
Maja ŠurbatovićClinic for Anesthesiology and Intensive Therapy, Military Medical Academy, Belgrade, Serbia.
Dušan MilisavljevićOtolaryngology Clinic, University Clinical Center in Niš, Niš, Serbia.
Vesna MarjanovićClinic for Anesthesiology and Intensive Therapy, University Clinical Center in Niš, Niš, Serbia.
Toma KovačevićOtolaryngology Clinic, University Clinical Center in Niš, Niš, Serbia.
Milan StankovićOtolaryngology Clinic, University Clinical Center in Niš, Niš, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAmong the numerous scores for difficult intubation assessment, there is no single score that is specific for laryngeal surgery. The parameters identified by this research will provide a foundation for developing a new score for preoperative airway assessment specific for laryngeal surgery. MATERIAL AND

methodsThis prospective pilot clinical study included 50 patients over 18 scheduled for microscopic laryngeal surgery. The following anesthesiological and surgical parameters were analyzed: flexible laryngoscopy, general and clinical data, inter-incisor gap (IIG), modified Mallampati score (MMP), S-lux, thyromental distance, sternomental distance, mandibular measurements, etc. Difficult intubation was defined according to the Intubation Difficulty Scale (IDS), and the patients were divided into difficult (DI) and normal (NI) intubation.

resultsAccording to the IDS scale, 17 (34%) intubations were characterized as difficult. Patients in the DI group were male ( P = 0.033) and had apnea during sleep ( P = 0.021). Other statistically significant parameters were IIG below 4 cm, reclination, neck girth, and MMP. Flexible laryngoscopy showed a high statistical significance of P = 0.0001. These parameters have an AUC of 0.955, with χ 2 = 43.268, P < 0.0001.

conclusionsThe combination of the statistically significant parameters shows excellent accuracy in laryngeal surgery. This combination can form a basis to develop a preoperative airway assessment score specific to laryngeal surgery.

Indexed as

Intubation, IntratrachealLaryngoscopyAdultAgedFemaleHumansLarynxMaleMiddle AgedPilot ProjectsProspective Studiesairway assessmentairway managementdifficultintratracheal intubationintubationlaryngoscopy

Identifiers

PMID39917979
PMCPMC11781308

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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.