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Correlation between clinical risk factors and tracheal intubation difficulty in infants with Pierre-Robin syndrome: a retrospective study.
BMC Anesthesiology ( IF 2.2 ) Pub Date : 2020-04-08 , DOI: 10.1186/s12871-020-00997-w
Yanli Liu 1 , Jiashuo Wang 2 , Shan Zhong 3
Affiliation  

Difficult tracheal intubation is a common problem encountered by anesthesiologists in the clinic. This study was conducted to assess the difficulty of tracheal intubation in infants with Pierre Robin syndrome (PRS) by incorporating computed tomography (CT) to guide airway management for anesthesia. In this retrospective study, we analyzed case-level clinical data and CT images of 96 infants with PRS. First, a clinically experienced physician labeled CT images, after which the color space conversion, binarization, contour acquisition, and area calculation processing were performed on the annotated files. Finally, the correlation coefficient between the seven clinical factors and tracheal intubation difficulty, as well as the differences in each risk factor under tracheal intubation difficulty were calculated. The absolute value of the correlation coefficient between the throat area and tracheal intubation difficulty was 0.54; the observed difference was statistically significant. Body surface area, weight, and gender also showed significant difference under tracheal intubation difficulty. There is a significant correlation between throat area and tracheal intubation difficulty in infants with PRS. Body surface area, weight and gender may have an impact on tracheal intubation difficulty in infants with PRS.

中文翻译:

Pierre-Robin综合征婴儿的临床危险因素与气管插管困难之间的相关性:一项回顾性研究。

困难的气管插管是临床麻醉师遇到的常见问题。这项研究是通过结合计算机断层扫描(CT)来指导麻醉的气道管理来评估皮埃尔·罗宾综合症(PRS)婴儿气管插管的难度。在这项回顾性研究中,我们分析了96例PRS婴儿的病例水平临床数据和CT图像。首先,由临床经验丰富的医师标记CT图像,然后对带注释的文件执行颜色空间转换,二值化,轮廓采集和面积计算处理。最后,计算了这七个临床因素与气管插管难度的相关系数,以及在气管插管难度下各危险因素的差异。喉部面积与气管插管难度的相关系数的绝对值为0.54。观察到的差异具有统计学意义。在气管插管困难下,体表面积,体重和性别也显示出显着差异。PRS婴儿的喉咙面积与气管插管困难之间存在显着相关性。PRS婴儿的体表面积,体重和性别可能对气管插管困难有影响。PRS婴儿的喉咙面积与气管插管困难之间存在显着相关性。PRS婴儿的体表面积,体重和性别可能对气管插管困难有影响。PRS婴儿的喉咙面积与气管插管困难之间存在显着相关性。PRS婴儿的体表面积,体重和性别可能对气管插管困难有影响。
更新日期:2020-04-22
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