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首页> 外文期刊>Anaesthesia: Journal of the Association of Anaesthetists of Great Britain and Ireland >A documented previous difficult tracheal intubation as a prognostic test for a subsequent difficult tracheal intubation in adults.
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A documented previous difficult tracheal intubation as a prognostic test for a subsequent difficult tracheal intubation in adults.

机译：以前有文献记载的困难气管插管作为成人随后发生的困难气管插管的预后测试。

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摘要

SUMMARY: We investigated the diagnostic accuracy of a documented previous difficult tracheal intubation as a stand-alone test for predicting a subsequent difficult intubation. Our assessment included patients from the Danish Anaesthesia Database who were scheduled for tracheal intubation by direct laryngoscopy. We used a four-point scale to grade the tracheal intubation. A previous difficult intubation was defined according to the presence of a record documenting a difficult penultimate tracheal intubation-score for the 15 499 patients anaesthetised more than once. Our assessment demonstrates that a documented history of previous difficult or failed intubation using direct laryngoscopy are strong predictors of a subsequent difficult or failed intubation and may identify 30% of these patients. Although previous investigators have reported predictive values that exceed our findings markedly, a documented previous difficult or failed tracheal intubation appears in everyday anaesthetic practice to be a strong predictor of a subsequent difficult tracheal intubation.
机译：摘要：我们调查了先前记录的困难气管插管的诊断准确性，以此作为预测后续困难插管的独立测试。我们的评估包括丹麦麻醉数据库中计划通过直接喉镜进行气管插管的患者。我们使用四点量表对气管插管进行分级。先前的困难气管插管是根据有记录的记录进行定义的，该记录记录了15 499例不止一次麻醉的倒数第二个气管插管分数。我们的评估表明，以前使用直接喉镜进行的困难插管或失败插管的文献记录是随后插管困难或插管失败的有力预测指标，并且可以确定其中30％的患者。尽管以前的研究者报告的预测值明显超出了我们的发现，但是在日常麻醉实践中，有记载的先前困难或失败的气管插管似乎是随后困难气管插管的有力预测指标。

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