Title
Upoređivanje anestezioloških i hirurških metoda procene otežane intubacije, kao i značaj njihovog kombinovanja u obezbeđivanju i očuvanju disajnog puta u hirurgiji gornjih disajnih puteva
Creator
Marković, Danica, 1983-
CONOR:
121508873
Copyright date
2024
Object Links
Select license
Autorstvo-Nekomercijalno-Bez prerade 3.0 Srbija (CC BY-NC-ND 3.0)
License description
Dozvoljavate samo preuzimanje i distribuciju dela, ako/dok se pravilno naznačava ime autora, bez ikakvih promena dela i bez prava komercijalnog korišćenja dela. Ova licenca je najstroža CC licenca. Osnovni opis Licence: http://creativecommons.org/licenses/by-nc-nd/3.0/rs/deed.sr_LATN. Sadržaj ugovora u celini: http://creativecommons.org/licenses/by-nc-nd/3.0/rs/legalcode.sr-Latn
Language
Serbian
Cobiss-ID
Theses Type
Doktorska disertacija
description
Datum odbrane: 04.11.2024.
Other responsibilities
Academic Expertise
Medicinske nauke
University
Univerzitet u Nišu
Faculty
Medicinski fakultet
Group
Katedra za otorinolaringologiju i oftalmologiju
Alternative title
Comparison of anesthetic and surgical methods of difficult intubation assessment and the importance of their combination in securing and preserving the airway in upper airway surgery
Publisher
[D. Z. Marković]
Format
158 listova
description
Bibliografija: listovi 140-155.
Beleška o autoru: listovi 156-158.
description
Anaesthesiology
Abstract (en)
The goal of this doctoral dissertation was to find the most accurate way of
preoperative assessment of difficult airway in laryngology. Laryngology is
characterized by the largest number of difficult intubations since every
patient has a change in the upper airway level, which, according to the
American Association of Anesthesiologists, is one of the main indications
for the existence of a difficult airway. A total of 100 patients who were being
prepared for the surgical intervention of microlaryngoscopy, were included
in this research. Demographic and anatomical specificities were measured
and analyzed for each patient. Anesthesiologic scores for assessing the
airway difficulty, which are used in other branches of anesthesia, were
calculated from these data. An ear, nose and throat (ENT) surgeon
performed a flexible laryngoscopy, after which he gave an opinion on the
difficulty of the airway.
Our research showed that already known anesthesia scores are not
independent in predicting the airway difficulty in laryngology. The highest
specificity and sensitivity, with AUC 0.914, was given by the following
combination of parameters: sex, ASA score, stridor, apnea, distance between
incisors with new cut-off value, retrognathia, neck circumference with new
cut-off value, reclination and flexible laryngoscopy.
Such results enabled the identification of parameters important for patients
with tumor changes of the upper respiratory tract. Further research will
enable the formation of a new score, specific for laryngology. Also, further
research will enable the correct classification of flexible laryngoscopy.
Authors Key words
otežana intubacija; fleksibilna laringoskopija; intubacija;
laringomikroskopija; laringologija
Authors Key words
difficult intubation; flexible laryngoscopy; intubation; microlaryngoscopy;
laryngology
Classification
616.2‑089.819.3(043.3)
Subject
B 590
Type
Tekst
Abstract (en)
The goal of this doctoral dissertation was to find the most accurate way of
preoperative assessment of difficult airway in laryngology. Laryngology is
characterized by the largest number of difficult intubations since every
patient has a change in the upper airway level, which, according to the
American Association of Anesthesiologists, is one of the main indications
for the existence of a difficult airway. A total of 100 patients who were being
prepared for the surgical intervention of microlaryngoscopy, were included
in this research. Demographic and anatomical specificities were measured
and analyzed for each patient. Anesthesiologic scores for assessing the
airway difficulty, which are used in other branches of anesthesia, were
calculated from these data. An ear, nose and throat (ENT) surgeon
performed a flexible laryngoscopy, after which he gave an opinion on the
difficulty of the airway.
Our research showed that already known anesthesia scores are not
independent in predicting the airway difficulty in laryngology. The highest
specificity and sensitivity, with AUC 0.914, was given by the following
combination of parameters: sex, ASA score, stridor, apnea, distance between
incisors with new cut-off value, retrognathia, neck circumference with new
cut-off value, reclination and flexible laryngoscopy.
Such results enabled the identification of parameters important for patients
with tumor changes of the upper respiratory tract. Further research will
enable the formation of a new score, specific for laryngology. Also, further
research will enable the correct classification of flexible laryngoscopy.
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