Correlación de hallazgos preoperatorios en la tomografía axial computarizada con la presencia de vía aérea difícil en pacientes intervenidos mediante cirugía otorrinolaringológica de cabeza y cuello

Gutiérrez, J.C. Galán; Merino, S.; Calle, P. de la; Perrino, C.; Represa, Marcos Sacristán; Moral, Pedro Ángel Valdivia

doi:10.1016/j.redar.2018.01.013

Cited by 2 publications

(8 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From the tomographic predictors, the CVV/PFP distance in the Mallampati III-IV patients shows significant results in the univariate model (p < 0.05, 95% CI: 0.032-3.682), a situation that was repeated in the multivariate model with the same distance (p < 0.05, 95% CI: 0.104-8.53) The diagnostic yield of CVV/PFP was also assessed during the study, with 64% being observed [1].…”

Section: Any Place For Ct and Airway?mentioning

confidence: 94%

“…Head and neck cancers represent 5% of all tumors [1]. The most frequent location is the larynx, followed by the oropharynx, oral cavity, and nasopharynx [2].…”

Section: Prevalence Of Head and Neck Cancers 11 Prevalencementioning

confidence: 99%

“…A retrospective study was conducted with 104 patients operated for head and neck cancers under general anesthesia and endotracheal intubation in the Otorhinolaryngology department during a period of 36 months. Throughout the selection process, the radiology team reported a number of 15 cases with significant distortion of the airway that are being excluded from the analysis [1].…”

Section: Any Place For Ct and Airway?mentioning

confidence: 99%

“…The odds ratio (OR) was 95% with confidence intervals (CI). All the tests were considered statistically significant for all data analyses when p < 0.05 [1] The most frequent surgeries performed during the study period were laryngeal microsurgery, total laryngectomy, and laser cordectomy, with percentages of 37.1, 10.1, and 6.7%, respectively.…”

Section: Any Place For Ct and Airway?mentioning

confidence: 99%

“…The tomographic predictors EPI/PFP and 177 BL/PFP in Cormack III-IV patients show significant results in the univariate model (p < 0.05, 95% CI: 0.125-3.84 and 0.654-5.915, respectively), but this situation was not repeated in the multivariate model when the variables were analyzed categorically (95% CI: 0.030-2.31 EPI/PFP, 0.018-1.37 BL/PFP). ROC curve was also assessed during the study, with 71 and 69% being observed for EPI/ PFP and BL/PFP, respectively [1] Table 1.…”

Section: Any Place For Ct and Airway?mentioning

confidence: 99%

See 4 more Smart Citations

Imaging Tests for Predicting the Presence of Difficult Airway in Head and Neck Cancer Patients Undergoing Otorhinolaryngological Surgery

Franchi¹,

Merino²,

Calle³

et al. 2019

Neuroimaging - Structure, Function and Mind

Self Cite

View full text Add to dashboard Cite

Patients with head and neck cancers represent a challenge for the surgical team from many points of view, but, especially, the surgical moment where greater stress generated corresponds to the perioperative management of the airway, because in many occasions we can face unexpected situations, most of the time, incidental findings can hinder ventilation and endotracheal intubation. Gutierrez et al., in 2018, decided to study four tomography measures and their correlation in anesthesia records with airway management difficulties. Material and methods: A retrospective, observational study was carried out in 104 patients operated by head and neck cancers over a period of 36 months, only in those with access to tomographic records. Four tomographic measurements were considered and were statistically related to the extreme degrees of visualization of the glottis (Cormack III-IV) and the presence of the physical examination of Mallampati III-IV. Results: After performing a multivariate model in the group of extreme degrees of visualization of the glottis, the results were not statistically significant (p > 0.05; 95% CI: 0.030-2.31: EPI/ PPW, 0.018-1.37 TB/PPW). In the Mallampati III-IV group, in the multivariate model only the VC/PPW showed clinically significant results (p < 0.05; 95% CI: 0.104-8.53). Conclusions: Tomographic measurements and the physical examination predictors could represent a useful guide in the prediction of the difficult airway in these patients.

show abstract

Section: Any Place For Ct and Airway?mentioning

confidence: 94%

“…Head and neck cancers represent 5% of all tumors [1]. The most frequent location is the larynx, followed by the oropharynx, oral cavity, and nasopharynx [2].…”

Section: Prevalence Of Head and Neck Cancers 11 Prevalencementioning

confidence: 99%

Section: Any Place For Ct and Airway?mentioning

confidence: 99%

Section: Any Place For Ct and Airway?mentioning

confidence: 99%

Section: Any Place For Ct and Airway?mentioning

confidence: 99%

See 3 more Smart Citations

Imaging Tests for Predicting the Presence of Difficult Airway in Head and Neck Cancer Patients Undergoing Otorhinolaryngological Surgery

Franchi¹,

Merino²,

Calle³

et al. 2019

Neuroimaging - Structure, Function and Mind

Self Cite

View full text Add to dashboard Cite

show abstract

Airway management in hospital. Methodological recommendations of the All-Russian public organization “Federation of Anesthesiologists and Reanimatologists” (third edition)

Андреенко

Bratishchev

Gavrilov

et al. 2021

Annals of Critical Care

View full text Add to dashboard Cite

The review presents the guidelines of the Federation of Anesthesiologists and Resuscitators, revised in 2021. The recommendations are based on a review of publications and current international guidelines of the Society for Difficult Airways (2018, 2020), the American Society of Anesthesiologists (2013, draft-version 2022), the European Society anesthesiologists (2018). The guidelines provide up-to-date definitions of various “difficult airway” situations; modern data on the use of ultrasound technologies in assessing the upper airways and predicting the risk of aspiration based on preoperative ultrasound scanning of the stomach; current evidence on the effectiveness of modern devices for ventilation and tracheal intubation. Algorithms of actions in various situations with anticipated and unanticipated “difficult airways” in patients with different risks of aspiration are proposed. An algorithm for preparing, predicting possible complications and performing tracheal extubation is also proposed. The recommendations presented in the review are aimed at achieving the goal - increasing patient safety during situations of “difficult airways” through the use of the safest and most effective approaches and methods, as well as reducing the risk of complications associated with these situations (death, severe neurological damage, traumatic injuries of the upper airways and trachea, etc.).

show abstract

Correlación de hallazgos preoperatorios en la tomografía axial computarizada con la presencia de vía aérea difícil en pacientes intervenidos mediante cirugía otorrinolaringológica de cabeza y cuello

Cited by 2 publications

References 8 publications

Imaging Tests for Predicting the Presence of Difficult Airway in Head and Neck Cancer Patients Undergoing Otorhinolaryngological Surgery

Imaging Tests for Predicting the Presence of Difficult Airway in Head and Neck Cancer Patients Undergoing Otorhinolaryngological Surgery

Airway management in hospital. Methodological recommendations of the All-Russian public organization “Federation of Anesthesiologists and Reanimatologists” (third edition)

Contact Info

Product

Resources

About