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Abstract:
BACKGROUND:We previously have shown that there was a strong correlation between failed facemask ventilation, failed ventilation through a supraglottic airway, and difficult tracheal intubation. The primary aim of this study was to evaluate whether or not an established method to predict difficult ventilation through a supraglottic airway was also useful for predicting failed facemask ventilation. METHODS:This was a single-center, retrospective observational study. We studied 28,081 anesthetized patients in whom ventilation through a facemask, and supraglottic airway was attempted as the initial technique during induction of anesthesia, between May 2011 and March 2016. For each patient, the score which had been validated to be useful for predicting difficult ventilation through a supraglottic airway was calculated. The score ranged between 0 and 7 points, and we defined a low risk when the score was 0-3, and a high risk when the score was 4-7. To measure and compare the predictive accuracy of the score, we generated a receiver operating characteristic curve and compared the area under the curve (AUC). RESULTS:The incidence of failed facemask ventilation was significantly higher in patients with high-risk predictive score than in patients with low-risk predictive score [0.38% vs 0.056%, odds ratio 6.8 (95% CI 2.6-18.1, p value = 0.002)], and the sensitivity of the score was 25%, while the specificity was 95%, with a negative predictive value of 99%. The AUC of the score was 0.71 (95% CI 0.58-0.83). CONCLUSIONS:The predictive score for difficult ventilation through a supraglottic airway is also useful to predict failed facemask ventilation.
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最新影响因子:2.931 | 期刊ISSN:0913-8668 | CiteScore:1.26 |
出版周期:Quarterly | 是否OA:YES | 出版年份:1987 |
期刊官方网址:http://www.springer.com/medicine/anesthesiology/journal/540
自引率:9.30% | 研究方向:医学-麻醉学 |
出版地区:JAPAN |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Published by Springer. ISSN (printed): 0913-8668. ISSN (electronic): 1438-8359. The Journal of Anesthesia is the official journal of the Japan Society of Anesthesiology.
由斯普林格出版。ISSN(印刷体):0913-8668。ISSN(电子版):1438-8359。 《麻醉学杂志》是日本麻醉学学会的官方刊物。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
ANESTHESIOLOGY (麻醉学) 4区 |
26/31 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
122 | 115 | 7 |
引文计数(2018)
文献(2015-2017)
732次引用
583篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Anesthesiology and Pain Medicine
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#48/115
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研究方向:麻醉
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研究方向:麻醉
接受率: 比较困难(25%命中)
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研究方向:-
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研究方向:医学-内分泌学与代谢
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