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No radiographic index predicts difficult intubation using the Optiscope™ in cervical spine surgery patients: a retrospective study
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Oh, Hyongmin | - |
dc.contributor.author | Kim, Hansol | - |
dc.contributor.author | Yoon, Hyun-Kyu | - |
dc.contributor.author | Lee, Hyung-Chul | - |
dc.contributor.author | Park, Hee-Pyoung | - |
dc.date.accessioned | 2020-07-30T07:49:04Z | - |
dc.date.available | 2020-07-30T16:50:30Z | - |
dc.date.issued | 2020-02-26 | - |
dc.identifier.citation | BMC Anesthesiology. 2020 Feb 26;20(1):47 | ko_KR |
dc.identifier.issn | 1471-2253 | - |
dc.identifier.uri | https://doi.org/10.1186/s12871-020-00966-3 | - |
dc.identifier.uri | https://hdl.handle.net/10371/168657 | - |
dc.description.abstract | Background
The Optiscope™ can be used for intubation with minimal neck motion. We retrospectively investigated radiographic predictors of difficult intubation using the Optiscope™ by analyzing preoperative radiographic images. Methods One hundred eighty-four patients who were intubated with the Optiscope™ under manual in-line cervical stabilization for cervical spine surgery were enrolled. Radiographic indices were measured on preoperative cervical spine lateral X-ray and magnetic resonance imaging images. Difficult intubation was defined as failure or time consumption more than 90 s on the first attempt. To identify significant predictors of difficult intubation using the Optiscope™ and evaluate their diagnostic value, multivariable logistic regression and receiver operating characteristic analyses were used. Results Fourty-seven patients showed difficult intubation. There was no significant difference in radiographic indices between the difficult and easy intubation groups, but higher body mass index (BMI) (26.5 [3.0] vs. 24.6 [3.5] kg/m2, P = 0.001), shorter sternomental distance (SMD) (122.0 [104.0 to 150.0] vs. 150.0 [130.0 to 170.0] mm, P = 0.001), shorter interincisor gap (40.0 [35.0 to 45.0] vs. 43.0 [40.0 to 50.0] mm, P = 0.006), and higher incidence of excessive oral secretions (10.6% vs. 2.9%, P = 0.049) were observed in patients with difficult intubation. In multivariable analysis, BMI (odds ratio [95% confidence interval]; 1.15 [1.03 to 1.28], P = 0.011) and SMD (odds ratio [95% confidence interval]; 0.98 [0.97 to 1.00], P = 0.008) were associated with difficult intubation with the Optiscope™. In receiver operating characterstic analysis, the area under the curve for body mass index was 0.68 (95% confidence interval; 0.60 to 0.77, P < 0.001) and that for sternomental distance was 0.66 (95% confience interval; 0.57 to 0.75, P = 0.001). Conclusions The incidence of difficult intubation using the Optiscope™ under manual in-line cervical stabilization was 25.5% in cervical spine surgery patients. No significant predictor of difficult intubation with the Optiscope™ was identified among the measured radiographic indices. Although high BMI and short SMD were predictive of difficult intubation with the Optiscope™, their discrimination power was weak. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BMC | ko_KR |
dc.subject | Optiscope™ | - |
dc.subject | Videostylet | - |
dc.subject | Difficult intubation | - |
dc.subject | Predictor | - |
dc.subject | Cervical spine surgery | - |
dc.title | No radiographic index predicts difficult intubation using the Optiscope™ in cervical spine surgery patients: a retrospective study | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 오형민 | - |
dc.contributor.AlternativeAuthor | 김한솔 | - |
dc.contributor.AlternativeAuthor | 윤현규 | - |
dc.contributor.AlternativeAuthor | 이형철 | - |
dc.contributor.AlternativeAuthor | 박희평 | - |
dc.citation.journaltitle | BMC Anesthesiology | ko_KR |
dc.language.rfc3066 | en | - |
dc.rights.holder | The Author(s) | - |
dc.date.updated | 2020-06-17T12:57:38Z | - |
dc.citation.number | 1 | ko_KR |
dc.citation.startpage | 47 | ko_KR |
dc.citation.volume | 20 | ko_KR |
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