KHẢO SÁT TỈ LỆ ĐẶT NỘI KHÍ QUẢN KHÓ VÀ CÁC YẾU TỐ TIÊN LƯỢNG TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ

Abstract

  Background: Difficult intubation poses a significant challenge in airway management. Although various predictive risk factors exist, no gold standard accurately predicts this condition. Difficult intubation can result in failed tube placement; therefore, anesthesiologists must be thoroughly prepared to manage unexpected situations. Objectives: To determine the incidence of difficult intubation, investigate predictive risk factors, and examine complications that occur during intubation at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: This prospective, cross-sectional study was conducted from May 2023 to May 2024 on 334 surgical patients who underwent intubation under anesthesia. Results: The incidence of difficult intubation was 5.1% based on the Cormack-Lehane classification. Patients with two or more predictive risk factors, especially those who were obese or had a short neck, faced challenges during intubation. 2.1% of cases required intubation on the third attempt. The main complications included early injuries (3%), such as lip and tongue lacerations and pharyngeal abrasions, as well as late complications (3.3%) like edema and hoarseness. Additionally, there were three cases of bronchospasm, two of which were associated with difficult intubation. Conclusions: Accurate assessment of the risk of difficult intubation is crucial for developing appropriate management plans. Moreover, anesthesiologists must be well-equipped and proficient in using supportive tools to manage the airway effectively.