Title (srp)

Upoređivanje anestezioloških i hirurških metoda procene otežane intubacije, kao i značaj njihovog kombinovanja u obezbeđivanju i očuvanju disajnog puta u hirurgiji gornjih disajnih puteva

Author

Marković, Danica, 1983-

Contributor

Stanković, Milan, 1959-
Šurbatović, Maja, 1964-
Marjanović, Vesna, 1968-
Stošić, Biljana, 1960-
Milisavljević, Dušan, 1968-

Description (srp)

The goal of this doctoral dissertation was to find the most accurate way ofpreoperative assessment of difficult airway in laryngology. Laryngology ischaracterized by the largest number of difficult intubations since everypatient has a change in the upper airway level, which, according to theAmerican Association of Anesthesiologists, is one of the main indicationsfor the existence of a difficult airway. A total of 100 patients who were beingprepared for the surgical intervention of microlaryngoscopy, were includedin this research. Demographic and anatomical specificities were measuredand analyzed for each patient. Anesthesiologic scores for assessing theairway difficulty, which are used in other branches of anesthesia, werecalculated from these data. An ear, nose and throat (ENT) surgeonperformed a flexible laryngoscopy, after which he gave an opinion on thedifficulty of the airway.Our research showed that already known anesthesia scores are notindependent in predicting the airway difficulty in laryngology. The highestspecificity and sensitivity, with AUC 0.914, was given by the followingcombination of parameters: sex, ASA score, stridor, apnea, distance betweenincisors with new cut-off value, retrognathia, neck circumference with newcut-off value, reclination and flexible laryngoscopy.Such results enabled the identification of parameters important for patientswith tumor changes of the upper respiratory tract. Further research willenable the formation of a new score, specific for laryngology. Also, furtherresearch will enable the correct classification of flexible laryngoscopy.

Description (srp)

Bibliografija: listovi 140-155. Beleška o autoru: listovi 156-158. Datum odbrane: 04.11.2024. Anaesthesiology

Object languages

Serbian

Date

2024

Rights

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