Department of Anesthesiology and Reanimation, Necmettin Erbakan University Meram Faculty of Medicine, Konya-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2022 Sep;28(9):1277-1284. doi: 10.14744/tjtes.2021.25068.
The primary objective of this study was to evaluate the use of STOP-BANG questionnaire in prediction of difficult airway. The secondary aim of this study is to evaluate the correlation of the questionnaire and other difficult airway determinant tests in predicting difficult airway.
Two hundred American Society of Anesthesiologists' Status I, II, and III patients under general anesthesia were enrolled in this prospective randomized study. Patients' age, height, body weight, body mass index, neck circumference, inter-incisor distance when the mouth is fully open, sternomental and thyromental distance, mandibular length, neck length, biting the upper lip, STOP-BANG score, and Mallampati and Cormack-Lehane (C-L) grades were recorded. The first thing we want to find is to determine the usability of the STOP-BANG questionnaire as an indicator of the difficult airway. Comparing difficult airway with the other parameters was secondary objectives. The patients were divided into two groups as difficult and easy intubation with difficult and easy facial mask ventilation. The data were analyzed using an SPSS statistics 16.0 program. Statistical analysis was performed using, Chi-square and Spearman correlation analysis test.
Forty-five out of 200 patients had difficulty in intubation and 73 out of them had difficulty in mask ventilation. Between difficult airway and high STOP-BANG score was a moderate positive correlation (p<0.05). Furthermore, unnatural dental status, greater head circumference, greater neck circumference, Mallampati, and C-L classification were significantly positive correlated with a difficult airway (p<0.05).
In our study, the STOP-BANG questionnaire was found to be important in predicting the difficult airway and this test was found to be usable like other difficult airway parameters.
本研究的主要目的是评估 STOP-BANG 问卷在预测困难气道中的应用。本研究的次要目的是评估问卷与其他困难气道预测因素测试在预测困难气道方面的相关性。
本前瞻性随机研究纳入了 200 名接受全身麻醉的美国麻醉医师协会（ASA）I、II 和 III 级患者。记录患者的年龄、身高、体重、体重指数、颈围、张口时上下切牙距离、胸骨上切迹至下颌骨距离、下颌长度、颈长、咬上唇、STOP-BANG 评分以及 Mallampati 和 Cormack-Lehane（C-L）分级。我们首先要确定 STOP-BANG 问卷作为困难气道指标的可用性。将困难气道与其他参数进行比较是次要目标。将患者分为困难插管组和容易插管组，以及困难面罩通气组和容易面罩通气组。使用 SPSS 统计 16.0 程序对数据进行分析。采用卡方检验和斯皮尔曼相关分析进行统计学分析。
200 例患者中，45 例插管困难，73 例面罩通气困难。困难气道与高 STOP-BANG 评分之间存在中度正相关（p<0.05）。此外，不自然的牙齿状况、更大的头围、更大的颈围、Mallampati 和 C-L 分级与困难气道显著正相关（p<0.05）。
在我们的研究中，STOP-BANG 问卷在预测困难气道方面被发现是重要的，并且该测试被发现像其他困难气道参数一样可用。
