open access

Vol 2, No 2 (2017)
REVIEW ARTICLE
Published online: 2017-05-24
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Assessment of endotracheal tube intubation. Review of existing scales

Logan Glosser
DOI: 10.5603/DEMJ.2017.0017
·
Disaster Emerg Med J 2017;2(2):91-93.

open access

Vol 2, No 2 (2017)
REVIEW ARTICLE
Published online: 2017-05-24

Abstract

Due to the complications associated with endotracheal intubation, contraindications should be assessed prior to initiating the procedure when possible. Several scales have been created to assess the ease of intubation. These intubation scales use numerous scoring systems combined with subjective assessments to provide a quantifiable suggestion for the patients difficulty of tracheal intubation. While there is no formal definition of what comprises a difficult intubation, some parameters include effort, number of attempts and complications. Some of the most common scales to assess this difficulty include the Mallampati score, the Cormack Lehane scale, the intubation difficulty scale, the level of difficulty of intubation, as well as the simplified airway risk index. There have been several other proposed methods as well that are less frequently used contributing to even less cohesion in the evaluation of airways.

Abstract

Due to the complications associated with endotracheal intubation, contraindications should be assessed prior to initiating the procedure when possible. Several scales have been created to assess the ease of intubation. These intubation scales use numerous scoring systems combined with subjective assessments to provide a quantifiable suggestion for the patients difficulty of tracheal intubation. While there is no formal definition of what comprises a difficult intubation, some parameters include effort, number of attempts and complications. Some of the most common scales to assess this difficulty include the Mallampati score, the Cormack Lehane scale, the intubation difficulty scale, the level of difficulty of intubation, as well as the simplified airway risk index. There have been several other proposed methods as well that are less frequently used contributing to even less cohesion in the evaluation of airways.

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Keywords

endotracheal tube, intubation, grading scales

About this article
Title

Assessment of endotracheal tube intubation. Review of existing scales

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 2, No 2 (2017)

Pages

91-93

Published online

2017-05-24

DOI

10.5603/DEMJ.2017.0017

Bibliographic record

Disaster Emerg Med J 2017;2(2):91-93.

Keywords

endotracheal tube
intubation
grading scales

Authors

Logan Glosser

References (17)
  1. Ezri T, Warters RD. Indications for tracheal intubation. In: Hagberg CA. ed. Benumof's Airway Management: Principles and Practice, 2nd ed. Mosby, Philadelphia 2007: 371.
  2. Finucane BT, Santora AH. Principles of Airway Management. Springer Verlag, New York 2003.
  3. Hagberg CA, Boin MH. Management of the airway: Complications. In: Saidman LJ, Benumof JL. ed. Anesthesia and Perioperative Complications, 2nd ed. Mosby, St. Louis 1999: 3.
  4. Mallampati SR, Gatt SP, Gugino LD, et al. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J. 1985; 32(4): 429–434.
  5. Samsoon GL, Young JR. Difficult tracheal intubation: a retrospective study. Anaesthesia. 1987; 42(5): 487–490.
  6. Lee A, Fan LTY, Gin T, et al. A systematic review (meta-analysis) of the accuracy of the Mallampati tests to predict the difficult airway. Anesth Analg. 2006; 102(6): 1867–1878.
  7. Gal TJ. Airway management. In: Miller DM, Fleisher LA, Johns RA, Savarese JJ, Winer-Kronish JP, Young WL. ed. Miller’s Anesthesia. Elsevier, Philadelphia 2005: 1617–1652.
  8. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia. 1984; 39(11): 1105–1111.
  9. Cormack RS. Cormack-Lehane classification revisited. British Journal of Anaesthesia. 2010; 105(6): 867–868.
  10. Adnet F, Borron SW, Racine SX, et al. The intubation difficulty scale (IDS): proposal and evaluation of a new score characterizing the complexity of endotracheal intubation. Anesthesiology. 1997; 87(6): 1290–1297.
  11. Samsoon GL, Young JR. Difficult tracheal intubation: a retrospective study. Anaesthesia. 1987; 42(5): 487–490.
  12. Prasad RV, Dogra S, Johnson B. Classifying The Difficulty Of Intubations. Anesthesia & Analgesia. 1998; 86(Suppl).
  13. Caplan R, Benumof J, Berry F. Practice guidelines for management of the difficult airway: an updated report by the American society of anesthesiologists task force on management of the difficult airway. Anesthesiology. 2003; 98(5): 1269–1277.
  14. Apfelbaum JL, Hagberg CA, Caplan RA, et al. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013; 118(2): 251–270.
  15. Henderson JJ, Popat MT, Latto IP, et al. Difficult Airway Society. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia. 2004; 59(7): 675–694.
  16. Nørskov AK, Rosenstock CV, Wetterslev J, et al. Incidence of unanticipated difficult airway using an objective airway score versus a standard clinical airway assessment: the DIFFICAIR trial - trial protocol for a cluster randomized clinical trial. Trials. 2013; 14: 347.
  17. Prasad RV, Dogra S, Johnson B. Classifying The Difficulty Of Intubations. Anesthesia & Analgesia. 1998; 86(Supplement).

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