Correlation between clinical risk factors and tracheal intubation difficulty in infants with Pierre-Robin syndrome: A retrospective study

Abstract

Background: Difficult tracheal intubation is a common problem encountered by anesthesiologists in the clinic. This study was conducted to assess the difficulty of tracheal intubation in infants with Pierre Robin syndrome (PRS) by incorporating computed tomography (CT) to guide airway management for anesthesia. Methods: In this retrospective study, we analyzed case-level clinical data and CT images of 96 infants with PRS. First, a clinically experienced physician labeled CT images, after which the color space conversion, binarization, contour acquisition, and area calculation processing were performed on the annotated files. Finally, the correlation coefficient between the seven clinical factors and tracheal intubation difficulty, as well as the differences in each risk factor under tracheal intubation difficulty were calculated. Results: The absolute value of the correlation coefficient between the throat area and tracheal intubation difficulty was 0.54; the observed difference was statistically significant. Body surface area, weight, and gender also showed significant difference under tracheal intubation difficulty. Conclusions: There is a significant correlation between throat area and tracheal intubation difficulty in infants with PRS. Body surface area, weight and gender may have an impact on tracheal intubation difficulty in infants with PRS.

Determination of Anthropometric Measurements that may be Associated with Difficult Intubation in Children

“…BSA, gender, and weight were associated with difficult intubation. A correlation was also found between difficult tracheal intubation and the throat region(18). Our study was carried out in normal children who do not have additional problems and between the ages of 2-14; gender, weight, and BSA were not associated with difficult intubation in our study either.…”