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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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Published in: | World journal of emergency surgery 2018-07, Vol.13 (1), p.33-33, Article 33 |
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description | 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 (
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doi_str_mv | 10.1186/s13017-018-0195-0 |
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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 (
< 0.001). The difficult intubation group showed higher modified LEMON score than the non-difficult intubation group (3 [2-5] vs. 2 [1-3], respectively,
= 0.017). Limited neck mobility was the only independent predictor of intubation difficulty (odds ratio, 6.15;
= 0.002).
The modified LEMON score is correlated with difficult intubation in adult trauma patients undergoing emergency surgery.</description><identifier>ISSN: 1749-7922</identifier><identifier>EISSN: 1749-7922</identifier><identifier>DOI: 10.1186/s13017-018-0195-0</identifier><identifier>PMID: 30061919</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>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</subject><ispartof>World journal of emergency surgery, 2018-07, Vol.13 (1), p.33-33, Article 33</ispartof><rights>Copyright © 2018. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s). 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c493t-40cb7f797b21be8e6faf0c5a24f75d79fa32f9108c99db36fcefc30cca6db1cf3</citedby><cites>FETCH-LOGICAL-c493t-40cb7f797b21be8e6faf0c5a24f75d79fa32f9108c99db36fcefc30cca6db1cf3</cites><orcidid>0000-0003-4574-9122</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057047/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2089832721?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25732,27903,27904,36991,36992,44569,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30061919$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ji, Sung-Mi</creatorcontrib><creatorcontrib>Moon, Eun-Jin</creatorcontrib><creatorcontrib>Kim, Tae-Jun</creatorcontrib><creatorcontrib>Yi, Jae-Woo</creatorcontrib><creatorcontrib>Seo, Hyungseok</creatorcontrib><creatorcontrib>Lee, Bong-Jae</creatorcontrib><title>Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery</title><title>World journal of emergency surgery</title><addtitle>World J Emerg Surg</addtitle><description>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 (
< 0.001). The difficult intubation group showed higher modified LEMON score than the non-difficult intubation group (3 [2-5] vs. 2 [1-3], respectively,
= 0.017). Limited neck mobility was the only independent predictor of intubation difficulty (odds ratio, 6.15;
= 0.002).
The modified LEMON score is correlated with difficult intubation in adult trauma patients undergoing emergency surgery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Airway</subject><subject>Airway management</subject><subject>Airway Management - methods</subject><subject>Airway Management - standards</subject><subject>Airway Obstruction - prevention & control</subject><subject>Airway Obstruction - therapy</subject><subject>Anesthesiology</subject><subject>Chi-Square Distribution</subject><subject>Difficult intubation</subject><subject>Electronic health records</subject><subject>Electronic Health Records - statistics & numerical data</subject><subject>Emergency medical care</subject><subject>Emergency services</subject><subject>Emergency surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intubation</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Intubation, Intratracheal - methods</subject><subject>Laryngoscopy - methods</subject><subject>Larynx</subject><subject>LEMON score</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Risk Assessment - methods</subject><subject>Risk Assessment - standards</subject><subject>Risk Factors</subject><subject>Statistics, Nonparametric</subject><subject>Surgery</subject><subject>Trauma</subject><subject>Trauma centers</subject><subject>Wounds and Injuries - complications</subject><subject>Wounds and Injuries - surgery</subject><issn>1749-7922</issn><issn>1749-7922</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdksGP1CAUxhujcdfVP8CLIfHipfqAtpSLiZmsusnoXvRMKDxGJi2M0K7Ofy9j182uB8KXx-994cFXVS8pvKW0795lyoGKGmhflmxreFSdU9HIWkjGHt_TZ9WznPcATduy5ml1xgE6Kqk8r35vYko46tnHQAacfyEGMkXrnUdLtpdfrr-SbGJCooMlPszLsLKFcN4s43wsVaJtUWROepk0ORQCw5zJEiymXfRhR3AqCoM5krwUkY7PqydOjxlf3O4X1fePl982n-vt9aerzYdtbRrJ57oBMwgnpBgYHbDHzmkHptWscaK1QjrNmZMUeiOlHXjnDDrDwRjd2YEaxy-qq9XXRr1Xh-QnnY4qaq_-FmLaKZ1mb0ZU1knAQbfoWt4YEFpyDcIY2rIOzYDF6_3qdViGCa0pQyY9PjB9eBL8D7WLN6qDVkAjisGbW4MUfy6YZzX5bHAcdcC4ZMWgh57z8m0Fff0fuo9LCuWpTpTsOROMFoqulEkx54Tu7jIU1Ckjas2IKhlRp4woKD2v7k9x1_EvFPwPbXK7-Q</recordid><startdate>20180724</startdate><enddate>20180724</enddate><creator>Ji, Sung-Mi</creator><creator>Moon, Eun-Jin</creator><creator>Kim, Tae-Jun</creator><creator>Yi, Jae-Woo</creator><creator>Seo, Hyungseok</creator><creator>Lee, Bong-Jae</creator><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-4574-9122</orcidid></search><sort><creationdate>20180724</creationdate><title>Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery</title><author>Ji, Sung-Mi ; Moon, Eun-Jin ; Kim, Tae-Jun ; Yi, Jae-Woo ; Seo, Hyungseok ; Lee, Bong-Jae</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c493t-40cb7f797b21be8e6faf0c5a24f75d79fa32f9108c99db36fcefc30cca6db1cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Airway</topic><topic>Airway management</topic><topic>Airway Management - methods</topic><topic>Airway Management - standards</topic><topic>Airway Obstruction - prevention & control</topic><topic>Airway Obstruction - therapy</topic><topic>Anesthesiology</topic><topic>Chi-Square Distribution</topic><topic>Difficult intubation</topic><topic>Electronic health records</topic><topic>Electronic Health Records - statistics & numerical data</topic><topic>Emergency medical care</topic><topic>Emergency services</topic><topic>Emergency surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intubation</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Intubation, Intratracheal - methods</topic><topic>Laryngoscopy - methods</topic><topic>Larynx</topic><topic>LEMON score</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Neck</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Risk Assessment - methods</topic><topic>Risk Assessment - standards</topic><topic>Risk Factors</topic><topic>Statistics, Nonparametric</topic><topic>Surgery</topic><topic>Trauma</topic><topic>Trauma centers</topic><topic>Wounds and Injuries - complications</topic><topic>Wounds and Injuries - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ji, Sung-Mi</creatorcontrib><creatorcontrib>Moon, Eun-Jin</creatorcontrib><creatorcontrib>Kim, Tae-Jun</creatorcontrib><creatorcontrib>Yi, Jae-Woo</creatorcontrib><creatorcontrib>Seo, Hyungseok</creatorcontrib><creatorcontrib>Lee, Bong-Jae</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>World journal of emergency surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ji, Sung-Mi</au><au>Moon, Eun-Jin</au><au>Kim, Tae-Jun</au><au>Yi, Jae-Woo</au><au>Seo, Hyungseok</au><au>Lee, Bong-Jae</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery</atitle><jtitle>World journal of emergency surgery</jtitle><addtitle>World J Emerg Surg</addtitle><date>2018-07-24</date><risdate>2018</risdate><volume>13</volume><issue>1</issue><spage>33</spage><epage>33</epage><pages>33-33</pages><artnum>33</artnum><issn>1749-7922</issn><eissn>1749-7922</eissn><abstract>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 (
< 0.001). The difficult intubation group showed higher modified LEMON score than the non-difficult intubation group (3 [2-5] vs. 2 [1-3], respectively,
= 0.017). Limited neck mobility was the only independent predictor of intubation difficulty (odds ratio, 6.15;
= 0.002).
The modified LEMON score is correlated with difficult intubation in adult trauma patients undergoing emergency surgery.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>30061919</pmid><doi>10.1186/s13017-018-0195-0</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-4574-9122</orcidid><oa>free_for_read</oa></addata></record> |
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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 |
title | Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery |
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