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001-es BibID:BIBFORM070752
Első szerző:Mitre, Calin
Cím:Clinical Experiences with the FRONT Formula for Pre-Operative Airway Assessment and Documentation : a Multi-Centre Study / Mitre Calin, Mitre Ileana, Gyongyosi Zoltan, Fulesdi Bela, Zdrehus Claudiu, Breazu Caius, Biro Peter
ISSN:2149-0937 2149-276X
Megjegyzések:Objective: The prediction of difficult airway is one of the most important challenges before general anaesthesia. This study aimed to assess theclinical usefulness of the FRONT score, a recently developed scoring system to predict and document airway difficulties.Methods: This multi-centre, inter-observer, prospective and double-blinded study included 976 patients from two university centres.The pre-operative evaluation of the patients was performed by a pre-operative team of anaesthesiologists (team A) who evaluated andscored the expected difficulty of airway management. An intra-operative team of evaluators (team B) working independently of team A,performed the actual instrumentation of the airway and scored the actual findings. Both teams used the FRONT scoring system andworked independently of each other to ensure blinded assessments. The statistical analysis of the pre- and intra-operative FRONT scoreswas performed in an off-line blinded manner.Results: Our results show a fair and promising association between pre-operative composite FRONT score and that observed at the inductionphase (Spearman=0.43). Among the score components, the best correlation was observed for the F and R components (kappa=0.44 and 0.36,respectively), and the worse correlation was observed for the O and T components (kappa=0.25 and 0.24, respectively).Conclusion: The FRONT formula for the prediction and documentation of the airway status is a simple and effective method for assessingand defining airway management difficulties. Further prospective studies are required to assess the sensitivity and specificity of thesystem.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Difficult airway
prediction of intubation
documentation of airway status
FRONT score
Megjelenés:Turkish Journal of Anesthesia and Reanimation 45 : 4 (2017), p. 225-230. -
További szerzők:Mitre, Ileana Gyöngyösi Zoltán (1977-) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus) Zdrehus, Claudiu Breazu, Caius Bíró Péter
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