Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery

Prediction of difficult airway is critical in the airway management of trauma patients A LEMON method which consists of following assessments; Look-Evaluate-Mallampati-Obstruction-Neck mobility is a fast and easy technique to evaluate patients' airways in the emergency situation. And a modified...

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Bibliographic Details
Published in:World journal of emergency surgery 2018-07, Vol.13 (1), p.33-33, Article 33
Main Authors: Ji, Sung-Mi, Moon, Eun-Jin, Kim, Tae-Jun, Yi, Jae-Woo, Seo, Hyungseok, Lee, Bong-Jae
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Airway
Airway management
Airway Management - methods
Airway Management - standards
Airway Obstruction - prevention & control
Airway Obstruction - therapy
Anesthesiology
Chi-Square Distribution
Difficult intubation
Electronic health records
Electronic Health Records - statistics & numerical data
Emergency medical care
Emergency services
Emergency surgery
Female
Humans
Intubation
Intubation, Intratracheal - instrumentation
Intubation, Intratracheal - methods
Laryngoscopy - methods
Larynx
LEMON score
Logistic Models
Male
Medical records
Medicine
Middle Aged
Neck
Patients
Retrospective Studies
Risk Assessment - methods
Risk Assessment - standards
Risk Factors
Statistics, Nonparametric
Surgery
Trauma
Trauma centers
Wounds and Injuries - complications
Wounds and Injuries - surgery
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Summary:Prediction of difficult airway is critical in the airway management of trauma patients A LEMON method which consists of following assessments; Look-Evaluate-Mallampati-Obstruction-Neck mobility is a fast and easy technique to evaluate patients' airways in the emergency situation. And a modified LEMON method, which excludes the Mallampati classification from the original LEMON score, also can be used clinically. We investigated the relationship between modified LEMON score and intubation difficulty score in adult trauma patients undergoing emergency surgery. We retrospectively reviewed electronic medical records of 114 adult trauma patients who underwent emergency surgery under general anesthesia. All patients' airways were evaluated according to the modified LEMON method before anesthesia induction and after tracheal intubation; the intubating doctor self-reported the intubation difficulty scale (IDS) score. A difficult intubation group was defined as patients who had IDS scores > 5 The modified LEMON score was significantly correlated with the IDS score (  
ISSN:1749-7922
1749-7922
DOI:10.1186/s13017-018-0195-0