Difficult airway prediction in paediatric anaesthesia (Diffair): Prospective observational study

Background. The incidence of difficult airway in paediatric patients is lower than that the adult population, and the majority should be predictable. Aims. The primary aim of this trial was to evaluate the incidence of difficult airway in pediatric patients. The secondary aim was to predict difficul...

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Autores principales: Jozef Klucka, Martina Kosinova, Milan Kratochvil, Lukas Marecek, Petra Kovalcikova, Milan Urik, Petr Stourac
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Lenguaje:EN
Publicado: Palacký University Olomouc, Faculty of Medicine and Dentistry 2021
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Acceso en línea:https://doaj.org/article/e713b41b27a54e8ebfa9265af03fe9b4
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spelling oai:doaj.org-article:e713b41b27a54e8ebfa9265af03fe9b42021-11-29T08:47:12ZDifficult airway prediction in paediatric anaesthesia (Diffair): Prospective observational study1213-81181804-752110.5507/bp.2020.020https://doaj.org/article/e713b41b27a54e8ebfa9265af03fe9b42021-09-01T00:00:00Zhttps://biomed.papers.upol.cz/artkey/bio-202103-0010_difficult-airway-prediction-in-paediatric-anaesthesia-diffair-prospective-observational-study.phphttps://doaj.org/toc/1213-8118https://doaj.org/toc/1804-7521Background. The incidence of difficult airway in paediatric patients is lower than that the adult population, and the majority should be predictable. Aims. The primary aim of this trial was to evaluate the incidence of difficult airway in pediatric patients. The secondary aim was to predict difficult airway in these patients. Methods. Paediatric patients undergoing elective surgery under general anaesthesia in a tertiary university hospital were examined, and a panel of difficult airway prediction tests was performed. We recorded the incidence, risk factors for difficult airway and events associated with difficult airway together with the sensitivity and specificity of tests for difficult airway and events associated with difficult airway prediction. Results. We prospectively included 389 paediatric patients. The incidence of difficult airway was 3.6%; the incidence of events associated with difficult airway was 10%. The sensitivity for prediction of events associated with difficult airway during the pre-anaesthesia evaluation was 5.3% with the specificity 93.3%. In the operating room, the sensitivity of prediction was 15% with 97.8% specificity. Conclusion. We found minimal efficacy for preanaesthesia difficult airway prediction.Jozef KluckaMartina KosinovaMilan KratochvilLukas MarecekPetra KovalcikovaMilan UrikPetr StouracPalacký University Olomouc, Faculty of Medicine and Dentistryarticledifficult airwaypaediatricpredictionMedicineRENBiomedical Papers, Vol 165, Iss 3, Pp 298-304 (2021)
institution DOAJ
collection DOAJ
language EN
topic difficult airway
paediatric
prediction
Medicine
R
spellingShingle difficult airway
paediatric
prediction
Medicine
R
Jozef Klucka
Martina Kosinova
Milan Kratochvil
Lukas Marecek
Petra Kovalcikova
Milan Urik
Petr Stourac
Difficult airway prediction in paediatric anaesthesia (Diffair): Prospective observational study
description Background. The incidence of difficult airway in paediatric patients is lower than that the adult population, and the majority should be predictable. Aims. The primary aim of this trial was to evaluate the incidence of difficult airway in pediatric patients. The secondary aim was to predict difficult airway in these patients. Methods. Paediatric patients undergoing elective surgery under general anaesthesia in a tertiary university hospital were examined, and a panel of difficult airway prediction tests was performed. We recorded the incidence, risk factors for difficult airway and events associated with difficult airway together with the sensitivity and specificity of tests for difficult airway and events associated with difficult airway prediction. Results. We prospectively included 389 paediatric patients. The incidence of difficult airway was 3.6%; the incidence of events associated with difficult airway was 10%. The sensitivity for prediction of events associated with difficult airway during the pre-anaesthesia evaluation was 5.3% with the specificity 93.3%. In the operating room, the sensitivity of prediction was 15% with 97.8% specificity. Conclusion. We found minimal efficacy for preanaesthesia difficult airway prediction.
format article
author Jozef Klucka
Martina Kosinova
Milan Kratochvil
Lukas Marecek
Petra Kovalcikova
Milan Urik
Petr Stourac
author_facet Jozef Klucka
Martina Kosinova
Milan Kratochvil
Lukas Marecek
Petra Kovalcikova
Milan Urik
Petr Stourac
author_sort Jozef Klucka
title Difficult airway prediction in paediatric anaesthesia (Diffair): Prospective observational study
title_short Difficult airway prediction in paediatric anaesthesia (Diffair): Prospective observational study
title_full Difficult airway prediction in paediatric anaesthesia (Diffair): Prospective observational study
title_fullStr Difficult airway prediction in paediatric anaesthesia (Diffair): Prospective observational study
title_full_unstemmed Difficult airway prediction in paediatric anaesthesia (Diffair): Prospective observational study
title_sort difficult airway prediction in paediatric anaesthesia (diffair): prospective observational study
publisher Palacký University Olomouc, Faculty of Medicine and Dentistry
publishDate 2021
url https://doaj.org/article/e713b41b27a54e8ebfa9265af03fe9b4
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AT milankratochvil difficultairwaypredictioninpaediatricanaesthesiadiffairprospectiveobservationalstudy
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