Cited 8 times in
Determination of the appropriate oropharyngeal airway size in adults: Assessment using ventilation and an endoscopic view
DC Field | Value | Language |
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dc.contributor.author | 김신형 | - |
dc.contributor.author | 김현주 | - |
dc.contributor.author | 민지영 | - |
dc.contributor.author | 박윤곤 | - |
dc.date.accessioned | 2018-07-20T08:06:19Z | - |
dc.date.available | 2018-07-20T08:06:19Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 0735-6757 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/160842 | - |
dc.description.abstract | INTRODUCTION: Size 9 and 8 airways for men and women, respectively, have been proposed as most appropriate based on endoscopy. However, a limitation of this guideline is that ventilation was not assessed. METHODS: In this retrospective review of prospectively collected data, 149 patients requiring tracheal intubation for general anesthesia were included. The adequacy for manual and pressure-controlled mechanical ventilation and views at the distal end of each airway was assessed using a fiber-optic bronchoscope with various airway sizes (7, 8, 9, 10, and 11). RESULTS: For men, size 9, 10, and 11 airways permitted clear manual and adequate mechanical ventilation; size 7 and 8 airways caused partially obstructed manual and inadequate mechanical ventilation. On endoscopy, size 7 and 8 airways caused complete obstruction by the tongue; size 10 and 11 airways either touched or passed beyond the tip of the epiglottis. For women, the size 7 airway caused partially obstructed manual and inadequate mechanical ventilation; size 9 and 10 airways provided clear manual and adequate mechanical ventilation. The size 8 airway permitted clear manual ventilation, though mechanical ventilation was inadequate in one patient. On endoscopy, the size 7 airway caused complete obstruction in >50% of women; size 9, 10, and 11 airways either touched or passed beyond the tip of the epiglottis. CONCLUSIONS: With respect to adequate ventilation in conjunction with an acceptable endoscopic view, size 9 and size 8 oropharyngeal airways appear to be the most appropriate sizes for clinical use in men and women, respectively. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | W B Saunders | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Anesthesia, General* | - |
dc.subject.MESH | Bronchoscopy* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intubation, Intratracheal* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Oropharynx/pathology* | - |
dc.subject.MESH | Patient Positioning | - |
dc.subject.MESH | Respiration, Artificial* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Sex Factors | - |
dc.subject.MESH | Young Adult | - |
dc.title | Determination of the appropriate oropharyngeal airway size in adults: Assessment using ventilation and an endoscopic view | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine | - |
dc.contributor.googleauthor | Hyun Joo Kim | - |
dc.contributor.googleauthor | Shin Hyung Kim | - |
dc.contributor.googleauthor | Ji Young Min | - |
dc.contributor.googleauthor | Wyun Kon Park | - |
dc.identifier.doi | 10.1016/j.ajem.2017.04.029 | - |
dc.contributor.localId | A00676 | - |
dc.contributor.localId | A01135 | - |
dc.contributor.localId | A01409 | - |
dc.contributor.localId | A01593 | - |
dc.relation.journalcode | J00079 | - |
dc.identifier.eissn | 1532-8171 | - |
dc.identifier.pmid | 28529003 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0735675717302929 | - |
dc.subject.keyword | Airway assessment | - |
dc.subject.keyword | Airway management | - |
dc.subject.keyword | Difficult airway algorithm | - |
dc.subject.keyword | Ventilation modes | - |
dc.contributor.alternativeName | Kim, Shin Hyung | - |
dc.contributor.alternativeName | Kim, Hyun Zu | - |
dc.contributor.alternativeName | Min, Ji Young | - |
dc.contributor.alternativeName | Park, Wyun Kon | - |
dc.contributor.affiliatedAuthor | Kim, Shin Hyung | - |
dc.contributor.affiliatedAuthor | Kim, Hyun Joo | - |
dc.contributor.affiliatedAuthor | Min, Ji Young | - |
dc.contributor.affiliatedAuthor | Park, Wyun Kon | - |
dc.citation.volume | 35 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 1430 | - |
dc.citation.endPage | 1434 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF EMERGENCY MEDICINE, Vol.35(10) : 1430-1434, 2017 | - |
dc.identifier.rimsid | 60726 | - |
dc.type.rims | ART | - |
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