Obstructive sleep apnea in surgical patients and its relationship with difficult intubation: two years of experience from a single center
Braz. J. Anesth. (Impr.)
; 73(5): 563-569, 2023. tab
Article
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| LILACS
| ID: biblio-1520350
Biblioteca responsable:
BR891.2
ABSTRACT
Abstract Background and objectives:
In this study, we aimed to determine the risk of obstructive sleep apnea (OSA) in patients undergoing elective surgery and its relationship with difficult intubation (DI).Methods:
This prospective, descriptive, cross-sectional study was conducted between December 2018 and February 2020 in the anesthesiology and reanimation service of a training and research hospital. The study included patients who were ASA I-II, 18 years of age, and older who underwent elective surgery under general anesthesia. A form regarding the baseline characteristics of the participants as well as STOP-Bang score, Mallampati, and Cormack-Lehane classification was used to collect the data.Results:
The study included 307 patients. It was determined that 64.2% of patients had a high risk of OSA. The presence of DI (determined by repeated attempts at intubation) was 28.6% in the high-risk OSA group, while there was no DI in the low-risk OSA group. A statistically significant difference was found between the groups in terms of OSA risk according to the presence of DI according to repeated attempts, Cormack-Lehane classification, and Mallampati classification (p < 0.001).Conclusion:
Due to the high rate of DI in patients with a high risk of OSA, the security of the airway in these patients is endangered. Early clinical recognition of OSA can help in designing a safer care plan.Palabras clave
Texto completo:
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Base de datos:
LILACS
Asunto principal:
Apnea Obstructiva del Sueño
/
Intubación
Idioma:
En
Revista:
Braz. J. Anesth. (Impr.)
Año:
2023
Tipo del documento:
Article