背景:本研究的目的是评估在患有挑战性气道且Mallampati评分为2分或更高的患者中,利用向后向上向右压力(BURP)操作的可预测性以及相关测试的有效性。
方法:扫描300例全身麻醉下接受甲状腺手术的成年患者的患者档案。这些信息包括他们的甲状腺疾病病史,以前的甲状腺手术,以及对困难插管的评估测试,如Mallampati评分,最大张口,易于插管,甲状腺甲状腺肿分级,以及是否进行了BURP操作。有困难插管史或CormackLehane评分小于2的患者被排除在外。此外,将患者分为两组:一组接受了BURP操作(n=78),另一组未接受BURP操作(n=56).
结果:根据术前评估,组间观察到最大口开口和甲状腺甲状腺肿分级的统计学差异。此外,在插管的方便性方面,两组之间存在显着差异,插管时间,Cormack-Lehane得分,和插管尝试的次数。
结论:在预测使用BURP时,最大张口与甲状腺甲状腺肿分级之间可能存在相关性。重要的是要记住,然而,困难的插管可能发生在一些不常见类型的甲状腺肿,如胸骨后甲状腺肿,即使甲状腺大小很小。因此,考虑执行BURP操作可能是有用的。
BACKGROUND: The purpose of this study was to evaluate the predictability of utilizing the backward upward rightward pressure (BURP) maneuver and the efficacy of related tests in patients with a challenging airway and a Mallampati score of 2 or higher who underwent scheduled elective thyroid surgery.
METHODS: Patient files were scanned for 300 adult patients who had undergone thyroid surgery under general anesthesia. The information included their medical history of thyroid disease, previous thyroid surgery, and evaluation tests for difficult intubation such as Mallampati score, maximum mouth opening, ease of intubation, thyroid goitre grade, and whether the BURP maneuver was performed. Patients who had a history of difficult intubation or a Cormack Lehane score less than 2 were excluded. Additionally, the patients were divided into two groups: one group underwent the BURP maneuver (n = 78) and the other did not (n = 56).
RESULTS: Statistically significant differences in the maximum mouth openings and thyroid goitre grade were observed between the groups according to the preoperative evaluation. Furthermore, significant differences were noted between the groups in terms of the ease of intubation, intubation time, Cormack-Lehane score, and number of intubation attempts.
CONCLUSIONS: There may be a correlation between the maximum mouth opening and thyroid goitre grade in predicting the use of the BURP maneuver. It is important to keep in mind, however, that difficult intubation may occur in some uncommon types of goiter, such as retrosternal goiter, even if the thyroid gland size is small. Therefore, it may be useful to consider performing the BURP maneuver.