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01-12-2021 | Polysomnography | Sleep Breathing Physiology and Disorders • Original Article

Utilization of apnea-hypopnea index as a novel predictive factor for difficult mask ventilation in the Chinese population under general anesthesia

Authors: Jiayi Wang, Jingjie Li, Pengcheng Zhao, Xuan Pu, Rong Hu, Hong Jiang

Published in: Sleep and Breathing | Issue 4/2021

Abstract

Purpose

Difficult mask ventilation (DMV) is a potentially life-threatening situation that can arise during anesthesia. However, most clinical predictors of DMV are based on European and US populations. On the other hand, most predictive models consist of multiple factors and complicated assessments. Since obstructive sleep apnea (OSA) is among the most important risk factors associated with DMV, the apnea-hypopnea index (AHI) may play an important role in determining patient risk.The purpose of this study was to investigate the relationship between DMV and AHI, and to determine preoperative risk factors for DMV in Chinese patients.

Methods

A prospective cohort trial enrolled patients scheduled for elective surgery. After obtaining informed consent, patient demographic information was collected, and patients were tested with pre-operative polysomnography. The anesthesiologist who managed the airway graded the mask ventilation. The difficult mask ventilation was defined as the mask ventilation provided by an unassisted anesthesiologist without oral airway or other adjuvant. A logistic regression model was used to analyze the association between AHI and DMV.

Results

A total of 159 patients were analyzed. For both primary and secondary outcomes, the unadjusted and adjusted odds ratio for DMV showed significant increases by 5 AHI units. AHI, age, and the Mallampati classification were found to be independent predictive factors for DMV.

Conclusions

AHI is associated with DMV as a novel independent risk factor in Chinese patients. Along with age and Mallampati classification, AHI should be included in establishing a superior predictive strategy for DMV screening.

Trial registration

Chinese Clinical Trial Registry ChiCTR-DDD-17013076

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Title: Utilization of apnea-hypopnea index as a novel predictive factor for difficult mask ventilation in the Chinese population under general anesthesia
Authors: Jiayi Wang
Jingjie Li
Pengcheng Zhao
Xuan Pu
Rong Hu
Hong Jiang
Publication date: 01-12-2021
Publisher: Springer International Publishing
Keywords: Polysomnography
Snoring
Difficult Airway
General Anesthesia
Published in: Sleep and Breathing / Issue 4/2021
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-021-02310-6

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Utilization of apnea-hypopnea index as a novel predictive factor for difficult mask ventilation in the Chinese population under general anesthesia

Abstract

Purpose

Methods

Results

Conclusions

Trial registration

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Abstract

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Conclusions

Trial registration

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