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The Assessment of Risk Factors for Difficult Intubation in Thyroid Patients.
World J Surg. 2018 06; 42(6):1748-1753.WJ

Abstract

OBJECTIVES

We aimed to assess possible risk factors related to difficult intubation in patients undergoing thyroid surgery.

METHODS

We prospectively collected data of 200 patients scheduled for thyroid surgery. Clinical risk factors were defined as: Mallampati score, interincisor gap, thyromental distance, sternomental distance, range of neck motion, body mass index, neck circumference, goiter, the presence of radiological findings suggesting compression and thyroid weight. All evaluations were performed with Macintosh assessed for Cormack and Lehane (CL) classification and modified intubation difficulty scale (MIDS).

RESULTS

It was observed that the proportion of patients with a thyroid weight ≥40 g, goiter, a Macintosh CL score = 3-4 and the mean neck circumference were significantly higher in the group with a MIDS score >5 (p = 0.018, p = 0.011, p < 0.001, respectively).

CONCLUSION

The presence of a palpable goiter, thyroid weight ≥40 g and thyromental distance <6.5 cm were risk factors associated with difficult intubation in the multivariate regression model.

Authors+Show Affiliations

Department of Anesthesiology, Cerrahpasa Medical Faculty, Istanbul University, Anestezi ve Reanimasyon, 34098, Fatih, Istanbul, Turkey. actutuncu@gmail.com.Department of Anesthesiology, Cerrahpasa Medical Faculty, Istanbul University, Anestezi ve Reanimasyon, 34098, Fatih, Istanbul, Turkey.Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Genel Cerrahi, 34098, Fatih, Istanbul, Turkey.Department of Anesthesiology, Cerrahpasa Medical Faculty, Istanbul University, Anestezi ve Reanimasyon, 34098, Fatih, Istanbul, Turkey.Department of Anesthesiology, Cerrahpasa Medical Faculty, Istanbul University, Anestezi ve Reanimasyon, 34098, Fatih, Istanbul, Turkey.Department of Anesthesiology, Cerrahpasa Medical Faculty, Istanbul University, Anestezi ve Reanimasyon, 34098, Fatih, Istanbul, Turkey.Department of Anesthesiology, Cerrahpasa Medical Faculty, Istanbul University, Anestezi ve Reanimasyon, 34098, Fatih, Istanbul, Turkey.Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Genel Cerrahi, 34098, Fatih, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29234848

Citation

Tutuncu, Ayse Cigdem, et al. "The Assessment of Risk Factors for Difficult Intubation in Thyroid Patients." World Journal of Surgery, vol. 42, no. 6, 2018, pp. 1748-1753.
Tutuncu AC, Erbabacan E, Teksoz S, et al. The Assessment of Risk Factors for Difficult Intubation in Thyroid Patients. World J Surg. 2018;42(6):1748-1753.
Tutuncu, A. C., Erbabacan, E., Teksoz, S., Ekici, B., Koksal, G., Altintas, F., Kaya, G., & Ozcan, M. (2018). The Assessment of Risk Factors for Difficult Intubation in Thyroid Patients. World Journal of Surgery, 42(6), 1748-1753. https://doi.org/10.1007/s00268-017-4391-y
Tutuncu AC, et al. The Assessment of Risk Factors for Difficult Intubation in Thyroid Patients. World J Surg. 2018;42(6):1748-1753. PubMed PMID: 29234848.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Assessment of Risk Factors for Difficult Intubation in Thyroid Patients. AU - Tutuncu,Ayse Cigdem, AU - Erbabacan,Emre, AU - Teksoz,Serkan, AU - Ekici,Birsel, AU - Koksal,Guniz, AU - Altintas,Fatis, AU - Kaya,Guner, AU - Ozcan,Murat, PY - 2017/12/14/pubmed PY - 2018/9/12/medline PY - 2017/12/14/entrez SP - 1748 EP - 1753 JF - World journal of surgery JO - World J Surg VL - 42 IS - 6 N2 - OBJECTIVES: We aimed to assess possible risk factors related to difficult intubation in patients undergoing thyroid surgery. METHODS: We prospectively collected data of 200 patients scheduled for thyroid surgery. Clinical risk factors were defined as: Mallampati score, interincisor gap, thyromental distance, sternomental distance, range of neck motion, body mass index, neck circumference, goiter, the presence of radiological findings suggesting compression and thyroid weight. All evaluations were performed with Macintosh assessed for Cormack and Lehane (CL) classification and modified intubation difficulty scale (MIDS). RESULTS: It was observed that the proportion of patients with a thyroid weight ≥40 g, goiter, a Macintosh CL score = 3-4 and the mean neck circumference were significantly higher in the group with a MIDS score >5 (p = 0.018, p = 0.011, p < 0.001, respectively). CONCLUSION: The presence of a palpable goiter, thyroid weight ≥40 g and thyromental distance <6.5 cm were risk factors associated with difficult intubation in the multivariate regression model. SN - 1432-2323 UR - https://www.unboundmedicine.com/medline/citation/29234848/The_Assessment_of_Risk_Factors_for_Difficult_Intubation_in_Thyroid_Patients_ DB - PRIME DP - Unbound Medicine ER -