Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysis

Bibliographic Details
Main Author: Gomes, Sara Cláudia Santos Hora
Publication Date: 2021
Other Authors: Simões, Ana M., Nunes, Andreia M., Pereira, Marta V., Teoh, Wendy H., Costa, Patrício Soares, Kristensen, Michael S., Teixeira, Pedro Miguel Silva Costa Afonso, Pêgo, José M.
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: https://hdl.handle.net/1822/86712
Summary: The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fmed.2021.671658/full#supplementary-material
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spelling Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysisairway ultrasound assessmentprediction of difficult intubationprediction of difficult laryngoscopyultrasound predictors of difficult intubationultrasound predictors of difficult laryngoscopyCiências Médicas::Ciências da SaúdeScience & TechnologySaúde de qualidadeThe Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fmed.2021.671658/full#supplementary-materialUnexpected difficult airway management can cause significant morbidity and mortality in patients admitted for elective procedures. Ultrasonography is a promising tool for perioperative airway assessment, nevertheless it is still unclear which sonographic parameters are useful predictors of difficult laryngoscopy and tracheal intubation. To determine the ultrasonographic predictors of a difficult airway that could be applied for routine practice, a systematic review and meta-analysis was conducted. Literature search was performed on PubMED, Web of Science and Embase using the selected keywords. Human primary studies, published in English with the use of ultrasonography to prediction of difficult laryngoscopy or tracheal intubation were included. A total of 19 articles (4,570 patients) were analyzed for the systematic review and 12 articles (1,141 patients) for the meta-analysis. Standardized mean differences between easy and difficult laryngoscopy groups were calculated and the parameter effect size quantified. A PRISMA methodology was used and the critical appraisal tool from Joanna Briggs Institute was applied. Twenty-six sonographic parameters were studied. The overall effect of the distance from skin to hyoid bone (p = 0.02); skin to epiglottis (p = 0.02); skin to the anterior commissure of vocal cords (p = 0.02), pre-epiglottis space to distance between epiglottis and midpoint between vocal cords (p = 0.01), hyomental distance in neutral (p < 0.0001), and extended (p = 0.0002) positions and ratio of hyomental distance in neutral to extended (p = 0.001) was significant. This study shows that hyomental distance in the neutral position is the most reliable parameter for pre-operative airway ultrasound assessment. The main limitations of the study are the small sample size, heterogeneity of studies, and absence of a standardized ultrasonographic evaluation method [Registered at International prospective register of systematic reviews (PROSPERO): number 167931].This work has been funded by National funds, through the Foundation for Science and Technology (FCT)-project UIDB/50026/2020 and UIDP/50026/2020; and by the projects NORTE-01-0145-FEDER-000013 and NORTE-01-0145-FEDER-000023, supported by Norte Portugal Regional Operational Programme (NORTE 2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF).Frontiers MediaUniversidade do MinhoGomes, Sara Cláudia Santos HoraSimões, Ana M.Nunes, Andreia M.Pereira, Marta V.Teoh, Wendy H.Costa, Patrício SoaresKristensen, Michael S.Teixeira, Pedro Miguel Silva Costa AfonsoPêgo, José M.20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/1822/86712engGomes, S. H., Simões, A. M., Nunes, A. M., Pereira, M. V., Teoh, W. H., Costa, P. S., … Pêgo, J. M. (2021, May 28). Useful Ultrasonographic Parameters to Predict Difficult Laryngoscopy and Difficult Tracheal Intubation—A Systematic Review and Meta-Analysis. Frontiers in Medicine. Frontiers Media SA. http://doi.org/10.3389/fmed.2021.6716582296-858X10.3389/fmed.2021.671658https://www.frontiersin.org/articles/10.3389/fmed.2021.671658/fullinfo:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-11T05:56:05Zoai:repositorium.sdum.uminho.pt:1822/86712Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T15:35:24.393064Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysis
title Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysis
spellingShingle Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysis
Gomes, Sara Cláudia Santos Hora
airway ultrasound assessment
prediction of difficult intubation
prediction of difficult laryngoscopy
ultrasound predictors of difficult intubation
ultrasound predictors of difficult laryngoscopy
Ciências Médicas::Ciências da Saúde
Science & Technology
Saúde de qualidade
title_short Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysis
title_full Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysis
title_fullStr Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysis
title_full_unstemmed Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysis
title_sort Useful ultrasonographic parameters to predict difficult laryngoscopy and difficult tracheal intubation-a systematic review and meta-analysis
author Gomes, Sara Cláudia Santos Hora
author_facet Gomes, Sara Cláudia Santos Hora
Simões, Ana M.
Nunes, Andreia M.
Pereira, Marta V.
Teoh, Wendy H.
Costa, Patrício Soares
Kristensen, Michael S.
Teixeira, Pedro Miguel Silva Costa Afonso
Pêgo, José M.
author_role author
author2 Simões, Ana M.
Nunes, Andreia M.
Pereira, Marta V.
Teoh, Wendy H.
Costa, Patrício Soares
Kristensen, Michael S.
Teixeira, Pedro Miguel Silva Costa Afonso
Pêgo, José M.
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Gomes, Sara Cláudia Santos Hora
Simões, Ana M.
Nunes, Andreia M.
Pereira, Marta V.
Teoh, Wendy H.
Costa, Patrício Soares
Kristensen, Michael S.
Teixeira, Pedro Miguel Silva Costa Afonso
Pêgo, José M.
dc.subject.por.fl_str_mv airway ultrasound assessment
prediction of difficult intubation
prediction of difficult laryngoscopy
ultrasound predictors of difficult intubation
ultrasound predictors of difficult laryngoscopy
Ciências Médicas::Ciências da Saúde
Science & Technology
Saúde de qualidade
topic airway ultrasound assessment
prediction of difficult intubation
prediction of difficult laryngoscopy
ultrasound predictors of difficult intubation
ultrasound predictors of difficult laryngoscopy
Ciências Médicas::Ciências da Saúde
Science & Technology
Saúde de qualidade
description The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fmed.2021.671658/full#supplementary-material
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://hdl.handle.net/1822/86712
url https://hdl.handle.net/1822/86712
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Gomes, S. H., Simões, A. M., Nunes, A. M., Pereira, M. V., Teoh, W. H., Costa, P. S., … Pêgo, J. M. (2021, May 28). Useful Ultrasonographic Parameters to Predict Difficult Laryngoscopy and Difficult Tracheal Intubation—A Systematic Review and Meta-Analysis. Frontiers in Medicine. Frontiers Media SA. http://doi.org/10.3389/fmed.2021.671658
2296-858X
10.3389/fmed.2021.671658
https://www.frontiersin.org/articles/10.3389/fmed.2021.671658/full
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
_version_ 1833595408922705920

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