■气管插管是用于固定患者气道的常用技术,这对麻醉至关重要。成功的气管插管取决于各种因素,包括手术前对患者气道的评估。近年来,评分系统,如LEMON(气道外观评估的首字母缩写,识别任何牙科问题,Mallampati分类的评估,评估气道阻塞,以及检查颈部活动度)和插管困难量表(IDS)已引起关注。本研究旨在探讨LEMON标准与气管插管中IDS之间的关系。目标是提供有价值的见解,可以通过分析临床数据来帮助医疗专业人员优化他们的气道管理方法。评估患者结果,并评估这些评分系统之间的一致性。
本研究基于一项描述性分析研究,涉及一组需要插管的患者。这项研究检查了105名计划进行选择性手术的患者,年龄在19至60岁之间,没有特定的潜在疾病,比如喉癌,颞下颌关节僵硬,或者明显的舌头肿大,体重指数(BMI)低于40kg/m²。最初,麻醉专家使用LEMON标准评估患者,然后使用IDS评分系统测量插管困难程度。最后,对这两个标准进行了比较。
■在这项研究中,LEMON评分与IDS评分之间存在显著相关性(P<0.001)。困难插管组(IDS评分高于0)的LEMON评分(最高评分等于4)高于非困难插管组(IDS评分为0)(P=0.017)。LEMON和IDS的平均得分分别为3.11和1.35。在参与者中,96.2%的患者插管困难评分≤5分;尽管如此,3.8%的得分>5。此外,颈部活动受限是插管困难的唯一独立预测因子(P=0.002,比值比=6.152).
■LEMON评分与需要插管的成年患者插管困难有关。
UNASSIGNED: Tracheal intubation is a common technique used to secure a patient\'s airway, which is crucial in anesthesia. Successful tracheal intubation depends on various factors, including the assessment of the patient\'s airway before the procedure. In recent years, scoring systems, such as LEMON (an acronym for the assessment of the airway\'s appearance, identification of any dental issues, evaluation of Mallampati classification, assessment of airway obstruction, and examination of neck mobility) and intubation difficulty scale (
IDS) have gained attention. This study aimed to investigate the relationship between the LEMON criteria and
IDS in tracheal intubation. The goal was to provide valuable insights that can assist medical professionals in optimizing their approach to airway management by analyzing clinical data, assessing patient outcomes, and evaluating the consistency between these scoring systems.
UNASSIGNED: This study was based on a descriptive-analytical study involving a group of patients requiring intubation. This study examined 105 patients scheduled for elective surgeries, aged between 19 and 60 years, without specific underlying diseases, such as laryngeal cancer, temporomandibular joint stiffness, or significant tongue enlargement, and with a body mass index (BMI) below 40 kg/m². Initially, expert anesthesiologists assessed the patients using the LEMON criteria, and then the degree of intubation difficulty was measured using the IDS scoring system. Finally, these two criteria were compared.
UNASSIGNED: In this study, there was a significant correlation between the LEMON score and the
IDS score (P < 0.001). The difficult intubation group (IDS score higher than 0) had higher LEMON scores (with the highest score equal to 4) than the non-difficult intubation group (
IDS score of 0) (P = 0.017). The average LEMON and
IDS scores were 3.11 and 1.35, respectively. Among the participants, 96.2% had an intubation difficulty score of ≤ 5; nevertheless, 3.8% had a score of > 5. Additionally, limited neck mobility emerged as the sole independent predictor of intubation difficulty (P = 0.002, odds ratio = 6.152).
UNASSIGNED: The LEMON score is associated with difficult intubation in adult patients requiring intubation.