Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study
Yıl: 2020 Cilt: 10 Sayı: 2 Sayfa Aralığı: 156 - 163 Metin Dili: İngilizce DOI: 10.5222/buchd.2020.81542 İndeks Tarihi: 10-06-2021
Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study
Öz: Objective: Ensuring airway security carries the utmost importance in anesthesia. Specific predictive tests or findings for difficult airway are not defined for children under 3 years old. This study is aimed at finding out the value of anthropometric measurements in the prediction of difficult laryngoscopy and intubation in children by comparing them to direct laryngoscopic evaluation of Cormack-Lehane test and intubation evaluation of Intubation Difficulty Scale.”Method: A total of 108 patients (aged 0-3 years), undergoing elective surgery were included in this study. Patients with known syndrome, facial anomaly, Anesthesiologists Physical Status Classification Class >2, and laryngeal mask airway were excluded from the study. Demographic data, head circumference, weight, height measurements, body mass index and percentile values were recorded by a pediatric surgeon in the preoperative period. During laryngoscopy and intubation evaluations were made using Cormack-Lehane Score and Intubation Difficulty Scale and recorded by a blinded resient. All recorded parameters werecompared with Cormack-Lehane and Intubation Difficulty Scale scores.Results: When all parameters were compared with CL Grade I-II-III, IDS scores; a statistically significant difference was found between age and head circumference and CL Grade I, II (p<0.05, p<0.05). When all parameters were compared in terms of difficult and easy direct laryngoscopy, relations between difficult direct laryngoscopy and male gender and low weight percentile were observed (p<0.05). Difficult intubation was not found according to Intubation Difficulty Scale.Conclusion: Anthropometric measurements are not predictive for difficult direct laryngoscopy and difficult intubation in pediatric patients. The potentiality of difficult direct laryngoscopy could be higher in boys than girls and in children with low weight percentile.
Anahtar Kelime: Çocuklarda Zor Laringoskopinin Öngörüsünde Antropometrik Ölçümlerin Değeri: Prospektif, Gözlemsel Bir Çalışma
Öz: Amaç: Hava yolu güvenliğinin sağlanması anestezide büyük önem taşımaktadır. Üç yaşından küçükler için spesifik zor havayolu ve entübasyon öngörü testleri veya zor hava yolu bulguları tanımlanmamıştır. Bu çalışma, çocuklarda zor laringoskopi ve entübasyon tahmininde antropometrik ölçümlerin doğrudan laringoskopik görüntülemeyi değerlendiren Cormack-Lehane ve entübasyon değerlendirmesini ölçen “Entübasyon Zorluk Ölçeği” skorlamaları ile karşılaştırılmasını amaçlamaktadır. Yöntem: Bu çalışmaya elektif cerrahi geçiren toplam 108 hasta (0-3 yaş) dahil edildi. Bilinen sendromu olan hastalar, yüz anomalisi, Anestezistlerin Fiziksel Durum Sınıflandırması 2’nin üzerinde, laringeal maske hava yolu uygulanan hastalar çalışma dışı bırakıldı. Ameliyat öncesi dönemde çocuk cerrahı tarafından demografik veriler, baş çevresi, ağırlık, boy ölçümleri, vücut kitle indeksi ve persentil değerleri kaydedildi. Laringoskopi ve entübasyon sırasında Cormack-Lehane Skoru ve Entübasyon Zorluk Ölçeğine göre parametreler değerlendirildi ve çalışmayı bilmeyen asistan tarafından kaydedildi. Kaydedilen tüm parametreler Cormack-Lehane ve Entübasyon Zorluk Ölçeği skorları ile karşılaştırıldı. Bulgular: Tüm parametreler CL Derece I-II-III ve Entübasyon Zorluk Ölçeği skorları ile karşılaştırıldığında; yaş ve baş çevresi ile CL Derece I, II arasında istatistiksel olarak anlamlı bir fark bulundu (p<0.05, p<0.05). Zor ve kolay direkt laringoskopi açısından tüm parametreler karşılaştırıldığında, zor direkt laringoskopik görüntü ile erkek cinsiyet ve düşük ağırlıklı persentil arasında ilişki saptandı (p<0.05). Entübasyon Zorluk Ölçeği skorlarına göre hiçbir olguda zor entübasyona rastlanmadı. Sonuç: Antropometrik ölçümler pediyatrik hastalarda zor direkt laringoskopi ve zor entübasyon için öngörücü değildir. Zor direk laringoskopinin potansiyeli erkeklerde kızlardan ve düşük ağırlık yüzdelikli çocuklarda daha yüksek olabilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | aydin g, Güntürk S, cakmak m, KARAMAN Y, OZTAN M, SUTAS BOZKURT P, cabbaroğlu g, ERBAY R (2020). Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. , 156 - 163. 10.5222/buchd.2020.81542 |
| Chicago | aydin gaye,Güntürk Sanem,cakmak meltem,KARAMAN YÜCEL,OZTAN Mustafa Onur,SUTAS BOZKURT Pervin,cabbaroğlu gizem,ERBAY RIZA HAKAN Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. (2020): 156 - 163. 10.5222/buchd.2020.81542 |
| MLA | aydin gaye,Güntürk Sanem,cakmak meltem,KARAMAN YÜCEL,OZTAN Mustafa Onur,SUTAS BOZKURT Pervin,cabbaroğlu gizem,ERBAY RIZA HAKAN Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. , 2020, ss.156 - 163. 10.5222/buchd.2020.81542 |
| AMA | aydin g,Güntürk S,cakmak m,KARAMAN Y,OZTAN M,SUTAS BOZKURT P,cabbaroğlu g,ERBAY R Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. . 2020; 156 - 163. 10.5222/buchd.2020.81542 |
| Vancouver | aydin g,Güntürk S,cakmak m,KARAMAN Y,OZTAN M,SUTAS BOZKURT P,cabbaroğlu g,ERBAY R Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. . 2020; 156 - 163. 10.5222/buchd.2020.81542 |
| IEEE | aydin g,Güntürk S,cakmak m,KARAMAN Y,OZTAN M,SUTAS BOZKURT P,cabbaroğlu g,ERBAY R "Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study." , ss.156 - 163, 2020. 10.5222/buchd.2020.81542 |
| ISNAD | aydin, gaye vd. "Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study". (2020), 156-163. https://doi.org/10.5222/buchd.2020.81542 |
| APA | aydin g, Güntürk S, cakmak m, KARAMAN Y, OZTAN M, SUTAS BOZKURT P, cabbaroğlu g, ERBAY R (2020). Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 10(2), 156 - 163. 10.5222/buchd.2020.81542 |
| Chicago | aydin gaye,Güntürk Sanem,cakmak meltem,KARAMAN YÜCEL,OZTAN Mustafa Onur,SUTAS BOZKURT Pervin,cabbaroğlu gizem,ERBAY RIZA HAKAN Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 10, no.2 (2020): 156 - 163. 10.5222/buchd.2020.81542 |
| MLA | aydin gaye,Güntürk Sanem,cakmak meltem,KARAMAN YÜCEL,OZTAN Mustafa Onur,SUTAS BOZKURT Pervin,cabbaroğlu gizem,ERBAY RIZA HAKAN Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, vol.10, no.2, 2020, ss.156 - 163. 10.5222/buchd.2020.81542 |
| AMA | aydin g,Güntürk S,cakmak m,KARAMAN Y,OZTAN M,SUTAS BOZKURT P,cabbaroğlu g,ERBAY R Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2020; 10(2): 156 - 163. 10.5222/buchd.2020.81542 |
| Vancouver | aydin g,Güntürk S,cakmak m,KARAMAN Y,OZTAN M,SUTAS BOZKURT P,cabbaroğlu g,ERBAY R Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2020; 10(2): 156 - 163. 10.5222/buchd.2020.81542 |
| IEEE | aydin g,Güntürk S,cakmak m,KARAMAN Y,OZTAN M,SUTAS BOZKURT P,cabbaroğlu g,ERBAY R "Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study." İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 10, ss.156 - 163, 2020. 10.5222/buchd.2020.81542 |
| ISNAD | aydin, gaye vd. "Value of Anthropometric Measurements in ID Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study". İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 10/2 (2020), 156-163. https://doi.org/10.5222/buchd.2020.81542 |
