清晨好,您是今天最早来到科研通的研友!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,伴您科研之路漫漫前行!

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
23秒前
千里草完成签到,获得积分10
26秒前
30秒前
安安完成签到 ,获得积分10
41秒前
1分钟前
1分钟前
qinxy发布了新的文献求助10
1分钟前
1分钟前
wanci应助qinxy采纳,获得10
2分钟前
energyharvester完成签到 ,获得积分10
2分钟前
plum发布了新的文献求助10
2分钟前
沙海沉戈完成签到,获得积分0
2分钟前
爱洗澡的鱼完成签到 ,获得积分10
2分钟前
2分钟前
自由飞翔完成签到 ,获得积分10
2分钟前
plum驳回了情怀应助
2分钟前
brwen完成签到,获得积分10
2分钟前
amar完成签到 ,获得积分0
4分钟前
丘比特应助咕咕咕咕采纳,获得10
4分钟前
李志全完成签到 ,获得积分10
4分钟前
5分钟前
123完成签到,获得积分10
5分钟前
咕咕咕咕发布了新的文献求助10
5分钟前
6分钟前
暮晓见完成签到 ,获得积分10
6分钟前
李爱国应助咕咕咕咕采纳,获得10
7分钟前
研友_nxw2xL完成签到,获得积分10
7分钟前
7分钟前
muriel完成签到,获得积分10
7分钟前
plum发布了新的文献求助10
7分钟前
7分钟前
HEIKU应助紫熊采纳,获得10
8分钟前
楚襄谷完成签到 ,获得积分10
8分钟前
8分钟前
frederick发布了新的文献求助10
8分钟前
zhengzhster应助紫熊采纳,获得20
9分钟前
frederick完成签到,获得积分10
9分钟前
紫熊完成签到,获得积分10
9分钟前
10分钟前
轩辕白竹完成签到,获得积分10
10分钟前
高分求助中
Sustainability in Tides Chemistry 2000
Microlepidoptera Palaearctica, Volumes 1 and 3 - 13 (12-Volume Set) [German] 1122
Дружба 友好报 (1957-1958) 1000
The Data Economy: Tools and Applications 1000
Mantiden - Faszinierende Lauerjäger – Buch gebraucht kaufen 700
PraxisRatgeber Mantiden., faszinierende Lauerjäger. – Buch gebraucht kaufe 700
A Dissection Guide & Atlas to the Rabbit 600
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 3099799
求助须知:如何正确求助?哪些是违规求助? 2751268
关于积分的说明 7612116
捐赠科研通 2403036
什么是DOI,文献DOI怎么找? 1275146
科研通“疑难数据库(出版商)”最低求助积分说明 616263
版权声明 599053