Top

Journal of Clinical Monitoring and Computing

Published in:

01-12-2017 | Commentary

Can spirometry be a new tool to predict the difficult airway?

Author: Andrea Vannucci

Published in: Journal of Clinical Monitoring and Computing | Issue 6/2017

Excerpt

Tracheal intubation became a popular method to deliver inhalational anesthesia in the late 1920' and in the 1930', thanks to the work of pioneers like Ralph Waters, Arthur Guedel, and Noel Gillespie in the US, and Ivan Magill in the UK [1, 2]. Among other possible techniques (such as blind intubation and tactile intubation), direct laryngoscopy emerged as the safest and most successful approach, especially following the introduction in the clinical arena of neuromuscular blocking agents in the 1940'. The use of tracheal intubation as a tool to protect the airway and to allow mechanical ventilation later spread outside of the operating rooms and diffused into the ICU and ER. …

Magill IW. Endotracheal anaesthesia. Proc R Soc Med. 1928;22(2):83–8.PubMedCentral

Gillespie NA. Enotracheal anaesthesia. Madison: The University of Wisconsin press; 1941.

Cass NM, James NR, Lines V. Difficult direct laryngoscopy complicating intubation for anaesthesia. Br Med J. 1956;1(4965):488–9.CrossRefPubMedPubMedCentral

Bannister F, Macbeth R. Direct laryngoscopy and tracheal intubation. Lancet. 1944;244(6325):651–4.CrossRef

Caplan RA, Posner KL, Ward RJ, Cheney FW. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology. 1990;72(5):828–33.CrossRefPubMed

Wilson ME, Spiegelhalter D, Robertson JA, Lesser P. Predicting difficult intubation. Br J Anaesth. 1988;61(2):211–6.CrossRefPubMed

el-Ganzouri AR, McCarthy RJ, Tuman KJ, Tanck EN, Ivankovich AD. Preoperative airway assessment: predictive value of a multivariate risk index. Anesth Analg. 1996;82(6):1197–204.PubMed

Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology. 2005;103(2):429–37.CrossRefPubMed

Adnet F, Borron SW, Lapostolle F, Lapandry C. The three axis alignment theory and the “sniffing position”: perpetuation of an anatomic myth? Anesthesiology. 1999;91(6):1964–5.CrossRefPubMed

10.

Greenland KB. A proposed model for direct laryngoscopy and tracheal intubation. Anaesthesia. 2008;63(2):156–61.CrossRefPubMed

11.

Greenland KB. Airway assessment based on a three column model of direct laryngoscopy. Anaesth Intensive Care. 2010;38(1):14–9.PubMed

12.

Frova G, Sorbello M. Algorithms for difficult airway management: a review. Minerva Anestesiol. 2009;75(4):201–9.PubMed

13.

Vannucci A, Cavallone LF. Bedside predictors of difficult intubation: a systematic review. Minerva Anestesiol. 2016;82(1):69–83.PubMed

14.

Norskov AK, Rosenstock CV, Wetterslev J, Astrup G, Afshari A, Lundstrom LH. Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188 064 patients registered in the Danish Anaesthesia Database. Anaesthesia. 2015;70(3):272–81.CrossRefPubMed

15.

Cook TM, Woodall N, Frerk C, Fourth National Audit P. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011;106(5):617–31.CrossRefPubMed

16.

Dogru S, Karaman T, Sahin A, Tapar H, Karaman S, Arici S, Suren M, Kaya Z, Somuk BT. Prediction of difficult laryngoscopy using spirometry: a pilot study. J Clin Monit Comput. 2016. doi:10.1007/s10877-016-9961-2 .

17.

Quanjer PH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC. Lung volumes and forced ventilatory flows. Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal. Official Statement of the European Respiratory Society. Eur Res J Suppl. 1993;16:5–40.CrossRef

18.

Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R, et al. Interpretative strategies for lung function tests. Eur Res J. 2005;26(5):948–68.CrossRef

Title: Can spirometry be a new tool to predict the difficult airway?
Author: Andrea Vannucci
Publication date: 01-12-2017
Publisher: Springer Netherlands
Published in: Journal of Clinical Monitoring and Computing / Issue 6/2017
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-017-9993-2

At a glance: The STEP trials

Springer Medicine

Can spirometry be a new tool to predict the difficult airway?

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 6/2017

Phenylephrine increases near-infrared spectroscopy determined muscle oxygenation in men

Comparison of pneumotachography and anemometery for flow measurement during mechanical ventilation with volatile anesthetics

Measuring core temperature using the proprietary application and thermo-smartphone adapter

Understanding elevated Pv-aCO2 gap and Pv-aCO2/Ca-vO2 ratio in venous hyperoxia condition

Comparison of non-invasive peripheral venous saturations with venous blood co-oximetry

Influence of continuously evolving transcatheter aortic valve implantation technology on cerebral oxygenation