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Journals / Southern Clinics of Istanbul Eurasia / 2020 / Cilt: 31 - Sayı: 1

Determination of the Difficult Intubation Incidence and its Affecting Factors in Patients Undergoing Septal Deviation Surgery – Prospective Controlled Trial

Septal Deviasyon Ameliyatı Geçirecek Hastalarda Zor Entübasyon İnsidansının ve Etki Eden Faktörlerin Belirlenmesi: Prospektif Kontrollü Çalışma

Levent AYDEMİR
Demet ALTUN
Achmet ALİ
Mukadder Orhan SUNGUR
Nil KIRŞAN
Emre ÇAMÇI
Pages
1–7
Publication Date
2022-10-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Cormack-Lehanescore and incidence of difficult airway were significantly higher in the Group S than theGroup T (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this prospective clinical study was to compare the incidence of difficultairway in patients undergoing septal deviation with the incidence of difficult airway in patientsundergoing tympanoplasty and to determine the factors associated with the incidenceof the difficult airway.
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Key Findings & Data:Investigation of predisposing factors for difficult airway in patientsundergoing septal deviation surgery was evaluated as a secondary outcome.Methods: A total of 255 participants, 130 patients undergoing septoplasty (study group-Group S) and 125 patients undergoing tympanoplasty (control group-Group T) were includedin this study.
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Conclusion & Impact:Cormack-Lehanescore and incidence of difficult airway were significantly higher in the Group S than theGroup T (p
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this prospective clinical study was to compare the incidence of difficultairway in patients undergoing septal deviation with the incidence of difficult airway in patientsundergoing tympanoplasty and to determine the factors associated with the incidenceof the difficult airway. Investigation of predisposing factors for difficult airway in patientsundergoing septal deviation surgery was evaluated as a secondary outcome.Methods: A total of 255 participants, 130 patients undergoing septoplasty (study group-Group S) and 125 patients undergoing tympanoplasty (control group-Group T) were includedin this study. Preoperative airway evaluation was performed using the LEMON protocol.For all patients, the STOP-BANG questionnaire was performed to identify the risk ofObstructive Sleep Apnea Syndrome (OSAS). Cormack-Lehane laryngeal view grades werenoted during laryngoscopy. The definition of difficult intubation was identified according tothe Cormack-Lehane scale (I–II=easy, III–IV=difficult). Additionally, the intubation methodused, number of intubation attempts, use of stylet, cricoid pressure, and usage of airwaywere recorded.Results: There were no unintubated patients in this study population. Cormack-Lehanescore and incidence of difficult airway were significantly higher in the Group S than theGroup T (p

Özet

Amaç: Bu prospektif klinik çalışmanın amacı septal deviasyon ameliyatı geçirecek hastalardaki zor havayolu insidansını timpanoplasti operasyonu geçirecek hastalardaki zor havayolu insidansı ile karşılaştırmak ve zor havayolu insidansına etki eden faktörlerin belirlenmesidir. Septal deviasyon ameliyatı geçirecek hastalardaki zor havayolu için predispozisyon yaratan faktörlerin araştırılması ikincil çıktı olarak değerlendirilmiştir. Gereç ve Yöntem: Çalışmaya septoplasti (çalışma grubu-Grup S) uygulanan 130 hasta ve timpanoplasti (kontrol grubu-Grup T) uygulanan 125 hasta olmak üzere toplam 255 katılımcı dahil edildi. Operasyon öncesi havayolu değerlendirilmesi LEMON protokolü kullanılarak yapıldı. Bütün hastalara uyku apne sendromu (UAS) risk tanısı için STOP-BANG soru testi uygulandı. Laringoskopi sırasında Cormack-Lehane laringeal görüntü dereceleri not edildi. Cormack-Lehane skalasına göre zor havayolu tanımlaması yapıldı (I–II=kolay, III–IV=zor). Ek olarak kullanılan entübasyon yöntemi, entübasyon deneme sayısı, stile kullanımı, krikoid bası ve airway kullanımı kaydedildi. Bulgular: Bu çalışma popülasyonunda entübe edilemeyen hasta olmadı. Cormack-Lehane skoru ve zor havayolu insidansı Grup S’de Grup T’ye göre anlamlı olarak daha yüksek bulundu (p

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Cite This Article

AYDEMİR, L., ALTUN, D., ALİ, A., SUNGUR, M. O., KIRŞAN, N., ÇAMÇI, E. (2022). Determination of the Difficult Intubation Incidence and its Affecting Factors in Patients Undergoing Septal Deviation Surgery – Prospective Controlled Trial. Southern Clinics of Istanbul Eurasia, Cilt: 31 - Sayı: 1, 1–7. https://ajindex.com/articles/592804

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