ASSESSMENT OF THE DIFFICULTY OF TRACHEAL INTUBATION CAUSED BY POST-BURN CONTRACTURE OF THE FACE, NECK AND CHEST
Keywords:
scale, test, Mallampati, Patila, LEMON, Wilson and MOSCOW-TDAbstract
The characteristics of patients, burn contractures, respiratory tract assessment data using various test options, scales and calculations are given. Various classifications, tests and scales such as Mallampati, Patila, LEMON, Wilson and MOSCOW-TD were used for the prognostic assessment of difficult airways, the data of which were compared in a comparative aspect, the specificity and sensitivity of these tools in predicting difficult airways were studied.
Evaluating scales and tests for predicting TDP and tracheal intubation in patients with post–burn contractures of the anterior – lateral parts of the face, neck, chest, we concluded that the most effective, specific for patients with such thermal trauma is the MOSCOW – TD scale and the values of the atlanto-occipital angle. LEMON and Wilson scales for predicting TDP in patients with burn contractures of the face, neck and chest are time-consuming, have a lot of obscene and subjective assessments, which makes them non-specific for this category of patients.
References
Андреенко А.А., Долбнева Е.Л. Стамов В. И. Обеспечение проходимости верхних дыхательных путей в стационаре. Клинические рекомендации Федерации анестезиологов-реаниматологов России( второй пересмотр.2018г.) // Вестник интенсивной терапии им А.И. Салтанова-2019-Т.2-С. 7-31.
Тэ. Хен Хан с соавт. Лечение трудных дыхательных путей у пациентов поле ожоговыми ментостернальними и околоротовыми и рубцовыми контрактурами. International Sur. of Burns and Trauma,2012,2(2),80-85.
Frerk C, Mitchell V.S. Mc Narry A.F. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. BJA,2015, vol.115.no 6.pp. 827-848.
Mshelia D.B. et al. Use of the «LEMON» score in predicting diffi cult intubation in Africans // Nigerian Journal of Basic and Clinical Sciences. 2018. Vol. 15, N 1. P. 17.
Queenie H. M, HingT.Ch, Micheal Y.J. Anaesthesia for plastic and reconstructive surgery Anaesth. and Intensive Care Med. 2020;22(1):64-69.
Sousa R.F.D Bilateral unexpended supraclavicular flaps for single stage resurtacing of anterior neck contractures. Indian F.Burns, 2019,, 27, 20-29
Zellouch A.Y, Ng Z.Y, Pazzo V etal. Reconstructiom of postburnarterior neck constractures using a butterfly design free anterolatesal thigh pertorator flap. Aroh. Plast. Surg.2020, 47, 194-197
