Utilidad del cuestionario de STOP-BANG como predictor único de vía aérea difícil / STOP-BANG questionnaire as predictor of a difficult airway management during anesthesia
Rev. méd. Chile
;
150(4): 450-457, abr. 2022. tab, ilus
Article
in Spanish
| LILACS
| ID: biblio-1409827
ABSTRACT
BACKGROUND:
Obstructive sleep apnea (OSA) is highly prevalent. The STOP-BANG questionnaire is a simple and useful tool to screen for OSA.AIM:
Since OSA is strongly associated with airway management troubles, we sought to determine whether the STOP-BANG can predict difficult airway management. MATERIAL ANDMETHODS:
An observational, cross-sectional study was conducted including adult patients scheduled for major outpatient surgery under general anesthesia. The STOP-BANG questionnaire was preoperatively applied by a ward nurse. The Han scale mask ventilation difficulty scale, Cormack-Lehane laryngeal view scale were also applied and the need for video laryngoscopy was recorded. The number of attempts for successful insertion of a laryngeal mask airway were determined.RESULTS:
We studied 993 patients, of whom 53% required tracheal intubation and 47% a laryngeal mask. Most patients had a low OSA risk, (STOP-BANG 2. The positive and negative likelihood ratios, (2.0 and 0.2) imply poor predictive capability.CONCLUSIONS:
The STOP-BANG questionnaire was only able to predict difficult mask ventilation. Since its discriminative value was low, it cannot be recommended it as a single predictor.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Sleep Apnea, Obstructive
/
Anesthesia
Type of study:
Controlled clinical trial
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2022
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Clínica Dávila/CL
/
Universidad de Los Andes/CL
Similar
MEDLINE
...
LILACS
LIS