USE OF PREDICTIVE EL-GANZOURI SCORE IN EVALUATION OF DIFFICULT AIRWAY IN OBESE PATIENTS
The frequency of difficult laryngoscopy and tracheal intubation in obese patients is higher compared to non-obese patients. Therefore it is important to perform an adequate assessment of airway before surgery with general anesthesia and tracheal intubation in such patients. This retrospective study...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2018-05-01
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| Series: | Вестник анестезиологии и реаниматологии |
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| Online Access: | https://www.vair-journal.com/jour/article/view/229 |
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| author | A. A. Klimov A. A. Mаlаkhovа S. А. Kаmnev V. V. Subbotin |
| author_facet | A. A. Klimov A. A. Mаlаkhovа S. А. Kаmnev V. V. Subbotin |
| author_sort | A. A. Klimov |
| collection | DOAJ |
| description | The frequency of difficult laryngoscopy and tracheal intubation in obese patients is higher compared to non-obese patients. Therefore it is important to perform an adequate assessment of airway before surgery with general anesthesia and tracheal intubation in such patients. This retrospective study evaluated the predictive value of El-Ganzouri score in the patients with body weight index exceeding 30 kg/sq. m.Subjects and methods. 116 patients were enrolled into the study, general anesthesia with tracheal intubation was planned in all those patients. The airway of all patients was assessed by El-Ganzouri score prior to surgery. Regardless of the number of scores in a patient, a video laryngoscope was always used, however by the first intubation attempt it was used as a regular one.Results. The score sensitivity made 0.81, specificity – 0.66, positive predictability – 0.4, negative predictability – 0.93. The area under ROC-curve made 0.82.Conclusions. We recommend El-Ganzouri score for evaluation of airway in the patients with BMI exceeding 30 kg/sq. m. since it possesses good modeling properties (AUC = 0.85) and allows selecting the safest way of intubation. |
| format | Article |
| id | doaj-art-af577ea0b0424311bab4ae6fa7e9f333 |
| institution | DOAJ |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2018-05-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-af577ea0b0424311bab4ae6fa7e9f3332025-08-20T03:23:07ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532018-05-01152384410.21292/2078-5658-2018-15-2-38-44226USE OF PREDICTIVE EL-GANZOURI SCORE IN EVALUATION OF DIFFICULT AIRWAY IN OBESE PATIENTSA. A. Klimov0A. A. Mаlаkhovа1S. А. Kаmnev2V. V. Subbotin3A. S. Loginov Moscow Clinical Scientific Center, Moscow Health DepartmentA. S. Loginov Moscow Clinical Scientific Center, Moscow Health DepartmentA. S. Loginov Moscow Clinical Scientific Center, Moscow Health DepartmentA. S. Loginov Moscow Clinical Scientific Center, Moscow Health DepartmentThe frequency of difficult laryngoscopy and tracheal intubation in obese patients is higher compared to non-obese patients. Therefore it is important to perform an adequate assessment of airway before surgery with general anesthesia and tracheal intubation in such patients. This retrospective study evaluated the predictive value of El-Ganzouri score in the patients with body weight index exceeding 30 kg/sq. m.Subjects and methods. 116 patients were enrolled into the study, general anesthesia with tracheal intubation was planned in all those patients. The airway of all patients was assessed by El-Ganzouri score prior to surgery. Regardless of the number of scores in a patient, a video laryngoscope was always used, however by the first intubation attempt it was used as a regular one.Results. The score sensitivity made 0.81, specificity – 0.66, positive predictability – 0.4, negative predictability – 0.93. The area under ROC-curve made 0.82.Conclusions. We recommend El-Ganzouri score for evaluation of airway in the patients with BMI exceeding 30 kg/sq. m. since it possesses good modeling properties (AUC = 0.85) and allows selecting the safest way of intubation.https://www.vair-journal.com/jour/article/view/229el-ganzouri scoreairway assessmentbmi exceeding 30 kg/sq. m.video laryngoscope |
| spellingShingle | A. A. Klimov A. A. Mаlаkhovа S. А. Kаmnev V. V. Subbotin USE OF PREDICTIVE EL-GANZOURI SCORE IN EVALUATION OF DIFFICULT AIRWAY IN OBESE PATIENTS Вестник анестезиологии и реаниматологии el-ganzouri score airway assessment bmi exceeding 30 kg/sq. m. video laryngoscope |
| title | USE OF PREDICTIVE EL-GANZOURI SCORE IN EVALUATION OF DIFFICULT AIRWAY IN OBESE PATIENTS |
| title_full | USE OF PREDICTIVE EL-GANZOURI SCORE IN EVALUATION OF DIFFICULT AIRWAY IN OBESE PATIENTS |
| title_fullStr | USE OF PREDICTIVE EL-GANZOURI SCORE IN EVALUATION OF DIFFICULT AIRWAY IN OBESE PATIENTS |
| title_full_unstemmed | USE OF PREDICTIVE EL-GANZOURI SCORE IN EVALUATION OF DIFFICULT AIRWAY IN OBESE PATIENTS |
| title_short | USE OF PREDICTIVE EL-GANZOURI SCORE IN EVALUATION OF DIFFICULT AIRWAY IN OBESE PATIENTS |
| title_sort | use of predictive el ganzouri score in evaluation of difficult airway in obese patients |
| topic | el-ganzouri score airway assessment bmi exceeding 30 kg/sq. m. video laryngoscope |
| url | https://www.vair-journal.com/jour/article/view/229 |
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