亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Dexmedetomidine may be favorable for opioid-free anesthesia

医学 阻塞性睡眠呼吸暂停 观察研究 科克伦图书馆 人口 荟萃分析 系统回顾 梅德林 睡眠呼吸暂停 麻醉 内科学 儿科 环境卫生 政治学 法学
作者
I‐Wen Chen,Wei‐Ting Wang,Kuo‐Chuan Hung
出处
期刊:Journal of Clinical Anesthesia [Elsevier]
卷期号:90: 111237-111237
标识
DOI:10.1016/j.jclinane.2023.111237
摘要

This meta-analysis aimed at identifying the risk factors for and their strengths in predicting difficult mask ventilation (MV) through a systematic approach.Meta-analysis of observational studies.Operating room.Airway- or patient-related risk factors for difficult MV reported in over 20% of eligible studies identified through literature review.Adults receiving anesthetic induction with requirement of MV.Databases including EMBASE, MEDLINE, Google Scholar, and Cochrane Library were searched from inception to July 2022. The primary outcomes were the identification of commonly reported risk factors for MV and a comparison of their strengths in difficult MV prediction, while the secondary outcomes were the prevalence of difficult MV in the general population and those with obesity.Meta-analysis of 20 observational studies involving 335,846 patients identified 13 risk factors with predictive strengths (all p < 0.05): neck radiation (OR = 5.0, five studies, n = 277,843), increased neck circumference (OR = 4.04, 11 studies, n = 247,871), obstructive sleep apnea (OSA) (OR = 3.61, 12 studies, n = 331,255), presence of beard (OR = 3.35, 12 studies, n = 295,443), snoring (OR = 3.06, 14 studies, n = 296,105), obesity (OR = 2.99, 11 studies, n = 278,297), male gender (OR = 2.76, 16 studies, n = 320,512), Mallampati score III-IV (OR = 2.36, 17 studies, n = 335,016), limited mouth opening (OR = 2.18, six studies, n = 291,795), edentulous (OR = 2.12, 11 studies, n = 249,821), short thyroid-mental distance (OR = 2.12, six studies, n = 328,311), old age (OR = 2, 11 studies, n = 278,750), and limited neck movement (OR = 1.98, nine studies, n = 155,101). The prevalence of difficult MV was 6.1% (16 studies, n = 334,694) and 14.4% (four studies, n = 1152) in the general population and those with obesity, respectively.Our results demonstrated the strengths of 13 most common risk factors for predicting difficult MV, which may serve as an evidence-based reference for clinicians to incorporate into their daily practice.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
鲍文启完成签到 ,获得积分10
47秒前
1分钟前
陈媛发布了新的文献求助10
2分钟前
手帕很忙完成签到,获得积分10
2分钟前
lucfer完成签到 ,获得积分10
2分钟前
zxq1996完成签到 ,获得积分10
3分钟前
4分钟前
研友_Lw46dn完成签到,获得积分20
5分钟前
6分钟前
194711发布了新的文献求助10
7分钟前
Wilson完成签到 ,获得积分10
7分钟前
桐桐应助PDY采纳,获得10
8分钟前
暮迟途远完成签到,获得积分10
9分钟前
10分钟前
PDY发布了新的文献求助10
10分钟前
彩色莞完成签到 ,获得积分10
10分钟前
PDY完成签到,获得积分10
10分钟前
wsh完成签到 ,获得积分10
10分钟前
11分钟前
oaoalaa完成签到 ,获得积分10
12分钟前
kaka完成签到,获得积分10
13分钟前
ddd完成签到 ,获得积分10
13分钟前
笨蛋小狗梦想为春日半岛蹦极完成签到,获得积分10
14分钟前
鳗鱼鱼完成签到 ,获得积分10
15分钟前
194711发布了新的文献求助10
15分钟前
15分钟前
万能图书馆应助Luis采纳,获得10
15分钟前
爱静静应助194711采纳,获得30
16分钟前
ho完成签到,获得积分10
17分钟前
17分钟前
JZ完成签到,获得积分10
19分钟前
JZ发布了新的文献求助10
19分钟前
19分钟前
Owen应助陈媛采纳,获得10
20分钟前
章鱼完成签到,获得积分10
20分钟前
22分钟前
陈媛发布了新的文献求助10
22分钟前
kuoping完成签到,获得积分10
23分钟前
25分钟前
PD完成签到,获得积分10
25分钟前
高分求助中
Evolution 10000
Sustainability in Tides Chemistry 2800
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
An Introduction to Geographical and Urban Economics: A Spiky World Book by Charles van Marrewijk, Harry Garretsen, and Steven Brakman 500
Diagnostic immunohistochemistry : theranostic and genomic applications 6th Edition 500
Chen Hansheng: China’s Last Romantic Revolutionary 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3150609
求助须知:如何正确求助?哪些是违规求助? 2802008
关于积分的说明 7846065
捐赠科研通 2459372
什么是DOI,文献DOI怎么找? 1309219
科研通“疑难数据库(出版商)”最低求助积分说明 628696
版权声明 601757