阻塞性睡眠呼吸暂停预测因素与插管困难的关系。
The relationship between the predictors of obstructive sleep apnea and difficult intubation.
机构信息
Department of Anesthesiology and Pain Medicine, Busan St. Mary's Hospital, Busan, Korea.
出版信息
Korean J Anesthesiol. 2011 Mar;60(3):173-8. doi: 10.4097/kjae.2011.60.3.173. Epub 2011 Mar 30.
Abstract
BACKGROUND
The study was performed in order to determine the risk factors for difficult tracheal intubation in obstructive sleep apnea patients.
METHODS
For 115 male patients with obstructive sleep apnea syndrome and who were undergoing palatal muscle resection (PMR), we investigated the correlation between their age, height, weight, body mass index (BMI), their Epworth Sleepiness Scale (ESS), their apnea-hypopnea index (AHI), their neck circumference and the difficulty of tracheal intubation.
RESULTS
The factors significantly related to difficult tracheal intubation in obstructive sleep apnea patients were a high AHI and a large neck circumference. There was no significant correlation between weight, BMI, arterial hypertension, ESS and difficult tracheal intubation in obstructive sleep apnea patients.
CONCLUSIONS
In this study, a high AHI and a large neck circumference can predict difficult tracheal intubation in obstructive sleep apnea patients.
摘要
背景
本研究旨在确定阻塞性睡眠呼吸暂停患者中气管插管困难的危险因素。
方法
对 115 例行悬雍垂腭咽成形术（PMR）的男性阻塞性睡眠呼吸暂停综合征患者，分析其年龄、身高、体重、体重指数（BMI）、Epworth 嗜睡量表（ESS）、呼吸暂停低通气指数（AHI）、颈围与气管插管困难的相关性。
结果
阻塞性睡眠呼吸暂停患者中与气管插管困难显著相关的因素是高 AHI 和大颈围。阻塞性睡眠呼吸暂停患者中，体重、BMI、动脉高血压、ESS 与气管插管困难无显著相关性。
结论
在本研究中，高 AHI 和大颈围可预测阻塞性睡眠呼吸暂停患者的气管插管困难。
相似文献
1
The relationship between the predictors of obstructive sleep apnea and difficult intubation.阻塞性睡眠呼吸暂停预测因素与插管困难的关系。
Korean J Anesthesiol. 2011 Mar;60(3):173-8. doi: 10.4097/kjae.2011.60.3.173. Epub 2011 Mar 30.
2
Weighted Epworth sleepiness scale predicted the apnea-hypopnea index better.体重指数预测睡眠呼吸暂停低通气指数更准确。
Respir Res. 2020 Jun 12;21(1):147. doi: 10.1186/s12931-020-01417-w.
3
Obstructive sleep apnea is not a risk factor for difficult intubation in morbidly obese patients.阻塞性睡眠呼吸暂停并非病态肥胖患者困难插管的危险因素。
Anesth Analg. 2009 Oct;109(4):1182-6. doi: 10.1213/ane.0b013e3181b12a0c.
4
5
Preoperative predictors of difficult intubation in patients with obstructive sleep apnea syndrome.阻塞性睡眠呼吸暂停综合征患者困难插管的术前预测因素。
Can J Anaesth. 2006 Apr;53(4):393-7. doi: 10.1007/BF03022506.
6
Relationship between Occurrence and Progression of Lung Cancer and Nocturnal Intermittent Hypoxia, Apnea and Daytime Sleepiness.肺癌的发生与进展与夜间间歇性低氧、呼吸暂停和白天嗜睡的关系。
Curr Med Sci. 2019 Aug;39(4):568-575. doi: 10.1007/s11596-019-2075-6. Epub 2019 Jul 25.
7
Prediction of obstructive sleep apnea syndrome in a large Greek population.预测希腊大人群中的阻塞性睡眠呼吸暂停综合征。
Sleep Breath. 2011 Dec;15(4):657-64. doi: 10.1007/s11325-010-0416-6. Epub 2010 Sep 25.
8
Does AHI Value Enough for Evaluating the Obstructive Sleep Apnea Severity?呼吸暂停低通气指数（AHI）对评估阻塞性睡眠呼吸暂停严重程度是否足够？
Indian J Otolaryngol Head Neck Surg. 2015 Mar;67(Suppl 1):16-20. doi: 10.1007/s12070-014-0722-6. Epub 2014 Apr 19.
9
[Analysis of clinical characteristics and risk factors of obstructive sleep apnea hypopnea syndrome with hypertension].[阻塞性睡眠呼吸暂停低通气综合征合并高血压的临床特征及危险因素分析]
Zhonghua Yi Xue Za Zhi. 2016 Mar 1;96(8):605-9. doi: 10.3760/cma.j.issn.0376-2491.2016.08.005.
10
[The role of body fat rate in the evaluation of obstructive sleep apnea].[体脂率在阻塞性睡眠呼吸暂停评估中的作用]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Jun 7;54(6):427-431. doi: 10.3760/cma.j.issn.1673-0860.2019.06.006.
引用本文的文献
1
A Comparison of the Effectiveness of the McCoy Laryngoscope and the C-MAC D-Blade Video Laryngoscope in Obese Patients.McCoy 喉镜与 C-MAC D-Blade 视频喉镜在肥胖患者中有效性的比较。
Medicina (Kaunas). 2024 Aug 9;60(8):1285. doi: 10.3390/medicina60081285.
2
ASSESSMENT OF STANDARD ANTHROPOMETRIC AIRWAY CHARACTERISTICS RELEVANT FOR AIRWAY MANAGEMENT OF PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME DURING SLEEP BREATHING DISORDER SURGERY: A RETROSPECTIVE, SINGLE CENTER STUDY.评估阻塞性睡眠呼吸暂停综合征患者睡眠呼吸障碍手术中气道管理相关的标准人体测量气道特征：一项回顾性、单中心研究。
Acta Clin Croat. 2023 Apr;62(Suppl1):21-28. doi: 10.20471/acc.2023.62.s1.02.
3
Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 2. Planning and implementing safe management of the patient with an anticipated difficult airway.加拿大气道焦点小组更新了基于共识的困难气道管理推荐意见：第 2 部分。计划和实施对预计存在困难气道的患者进行安全管理。
Can J Anaesth. 2021 Sep;68(9):1405-1436. doi: 10.1007/s12630-021-02008-z. Epub 2021 Jun 8.
4
The HEAVEN criteria predict laryngoscopic view and intubation success for both direct and video laryngoscopy: a cohort analysis.HEAVEN 标准预测直接喉镜和可视喉镜下的喉镜视野和插管成功率：一项队列分析。
Scand J Trauma Resusc Emerg Med. 2019 Apr 24;27(1):50. doi: 10.1186/s13049-019-0614-6.
5
Anesthesia Management in an Adult Patient with Sleep-Disordered Breathing and Difficult Intubation: A Case Report.一名患有睡眠呼吸障碍和困难插管的成年患者的麻醉管理：病例报告
Anesth Essays Res. 2018 Oct-Dec;12(4):967-969. doi: 10.4103/aer.AER_171_18.
6
The influence of morbid obesity on difficult intubation and difficult mask ventilation.病态肥胖对困难插管和困难面罩通气的影响。
J Anesth. 2019 Feb;33(1):96-102. doi: 10.1007/s00540-018-2592-7. Epub 2019 Jan 8.
7
Inter-rater and intra-rater reliability of the airway diameter measured by sonography.超声测量气道直径的评分者间及评分者内信度。
J Ultrasound. 2018 Mar;21(1):35-40. doi: 10.1007/s40477-017-0276-z. Epub 2018 Jan 6.
8
[Correlation between obstructive apnea syndrome and difficult airway in ENT surgery].[阻塞性睡眠呼吸暂停综合征与耳鼻喉科手术困难气道的相关性]
Braz J Anesthesiol. 2018 Nov-Dec;68(6):543-548. doi: 10.1016/j.bjan.2017.11.006. Epub 2017 Dec 21.
9
High levels of IGF-1 predict difficult intubation of patients with acromegaly.高水平的胰岛素样生长因子-1预示着肢端肥大症患者插管困难。
Endocrine. 2017 Aug;57(2):326-334. doi: 10.1007/s12020-017-1338-x. Epub 2017 Jun 15.
10
Prediction of difficult laryngoscopy using spirometry: a pilot study.使用肺活量测定法预测困难喉镜检查：一项初步研究。
J Clin Monit Comput. 2017 Dec;31(6):1115-1121. doi: 10.1007/s10877-016-9961-2. Epub 2016 Nov 19.
本文引用的文献
1
The importance of increased neck circumference to intubation difficulties in obese patients.颈部周长增加对肥胖患者插管困难的重要性。
Anesth Analg. 2008 Apr;106(4):1132-6, table of contents. doi: 10.1213/ane.0b013e3181679659.
2
Difficult endotracheal intubation in patients with sleep apnea syndrome.睡眠呼吸暂停综合征患者的困难气管插管
Anesth Analg. 2002 Oct;95(4):1098-102, table of contents. doi: 10.1097/00000539-200210000-00058.
3
Physical findings and the risk for obstructive sleep apnea. The importance of oropharyngeal structures.体格检查结果与阻塞性睡眠呼吸暂停风险。口咽结构的重要性。
Am J Respir Crit Care Med. 2000 Aug;162(2 Pt 1):740-8. doi: 10.1164/ajrccm.162.2.9908123.
4
Sleep-related breathing disorders: definitions and measurements.睡眠呼吸相关障碍：定义与测量
Eur Respir J. 2000 Jun;15(6):988-9. doi: 10.1034/j.1399-3003.2000.01502.x.
5
Gender differences in the polysomnographic features of obstructive sleep apnea.阻塞性睡眠呼吸暂停多导睡眠图特征中的性别差异。
Am J Respir Crit Care Med. 2000 May;161(5):1465-72. doi: 10.1164/ajrccm.161.5.9904121.
6
7
[Pulmonary edema due to acute airway obstruction immediately after tracheal extubation].气管插管拔管后即刻急性气道梗阻所致肺水肿
Masui. 1998 Nov;47(11):1333-7.
8
Relationship between difficult tracheal intubation and obstructive sleep apnoea.困难气管插管与阻塞性睡眠呼吸暂停之间的关系。
Br J Anaesth. 1998 May;80(5):606-11. doi: 10.1093/bja/80.5.606.
9
Anaesthetic management of patients with sleep apnoea syndrome.睡眠呼吸暂停综合征患者的麻醉管理
Can J Anaesth. 1996 Jun;43(6):599-616. doi: 10.1007/BF03011774.
Zotero 插件