Predictive parameters of difficult intubation in thyroid surgery: a meta-analysis.

Predictive parameters of difficult intubation in thyroid surgery: a meta-analysis. Minerva Anestesiol. 2020 Jan 08;: Authors: De Cassai A, Boscolo A, Rose K, Carron M, Navalesi P Abstract BACKGROUND: Airway management is a fundamental goal for the anesthesiologist. The rate of difficult laryngoscopy in patients undergoing thyroid surgery ranges from 6.8% to 9.6%. An accurate and detailed preoperative evaluation of the airway seems to be a promising tool to predict a potentially difficult airway management. We aimed to identify possible risk factors and physical findings that predict difficult intubation in thyroid surgery. METHODS: MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were analysed, and the reference lists from the retrieved articles and previous reviews were searched for additional studies. Difficult intubation was defined as Cormack and Lehane grade ≥ 3 or Intubation Difficulty Scale score> 5 by direct laryngoscopy. Studies that used advanced airway devices or ultrasound-based airway management were excluded. Gender, Mallampati score, interincisor gap, thyromental distance, body mass index, tracheal deviation, histology, mediastinal goiter, mandibular protrusion, neck circumference and neck movement were evaluated. Qualitative analysis has been conducted in case of insufficient data for an appropriate meta-analysis. RESULTS: Eight studies that evaluated the accuracy of clinical findings for ident...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

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