Echevarría-Correas MA, González-Bada A, Rodrigo-Casanova MP, García-Peña JM, Aguilera-Celorrio L

Language: Spanish
References: 20
Page: 85-90
PDF size: 197.88 Kb.

ABSTRACT

Objective: To find out in our actual environment, the actual proportion of difficult airway that exists and to estimate the usefulness of current predictive tests for its detection. We also evaluated the resolution of the difficult airway, both planned and unknown. Material and methods: A retrospective observational study was conducted in 500 patients operated at the University Hospital Basurto during a two months period in 2011. We compare the prediction of the airway in the preoperative with the ease of management in the operating room of the difficult airway, both planned and unknown. Results: There are in our patients 6% of actual difficult airway. Up to 75% is not detected preoperatively by standard tests. All of the unknown difficult airway were resolved with conventional laryngoscopy, being necesary to use other specific difficult airway devices in some cases of predicted difficult airway. Conclusions: To ensure adequate preoxygenation and to have specific devices for the management of difficult airway is required, assuming the preoperative assessment of it as an indicative tool and in no case determining the ease or difficulty of its management. The conventional laryngoscopy remains our medium of choice to address and resolve unknown difficult airway successfully.

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