A meta analysis about the association of difficult airway and obstructive sleep apnea
MIAO Yuliang1, ZHANG Qian2, and AN Lina2
1.Department of Anesthesiology of the Hospital 306, Beijing 100101, China; 2.Department of Anesthesiology, the Third Medical Center, Chinese PLA General Hospital, Beijing 100039, China
Abstract：Objective To evaluate whether the difficult airway associate with obstructive sleep apnea.Methods Articles were searched from the Pubmed, Medline, Google scholar, ProQuest Central, Cochrane Online Library and Web of Science from January 1st 2000 to October 31st 2018 for prospective trials. RevMan5.1.7 was used to analysis the association of difficult airway with obstructive sleep apnea.Results Compare with the non-OSA patients, the OR of the difficult intubation, difficult mask ventilation and difficult airway combined with difficult mask ventilation in OSA patients were 2.86, 3.37 and 3.78, respectively.Conclusions The OSA patients have much higher risk of difficult airway incidence.
苗玉良,张谦,安丽娜. 阻塞性睡眠呼吸暂停与困难气道关联性的Meta分析[J]. 武警医学, 2019, 30(8): 700-703.
MIAO Yuliang, ZHANG Qian, and AN Lina. A meta analysis about the association of difficult airway and obstructive sleep apnea. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(8): 700-703.
Ramachandran S K,Mathis M R,Tremper K K,et al. Predictors and clinical outcomes from failed Laryngeal Mask Airway Unique: a study of 15,795 patients[J]. Anesthesiology, 2012, 116(6): 1217-1226.
[3]
Kheterpal S,Healy D,Aziz M F,et al. Incidence, predictors, and outcome of difficult mask ventilation combined with difficult laryngoscopy: a report from the multicenter perioperative outcomes group[J]. Anesthesiology, 2013, 119(6): 1360-1369.
[4]
Gokay P,Tastan S,Orhan M E. Is there a difference between the STOP-BANG and the berlin obstructive sleep apnoea syndrome questionnaires for determining respiratory complications during the perioperative period?[J]. J Clin Nurs, 2016, 25(9-10): 1238-1252.
[5]
Corso R M, Petrini F, Buccioli M, et al. Clinical utility of preoperative screening with STOP-Bang questionnaire in elective surgery[J]. Minerva Anestesiol, 2014, 80(8): 877-884.
[6]
Brodsky J B,Lemmens H J, Brock-Utne J G,et al. Morbid obesity and tracheal intubation[J]. Anesth Analg, 2002, 94(3): 732-736.
[7]
Kheterpal S,Han R,Tremper K K,et al. Incidence and predictors of difficult and impossible mask ventilation[J]. Anesthesiology, 2006, 105(5): 885-891.
[8]
Chung F, Yegneswaran B, Herrera F, et al. Patients with difficult intubation may need referral to sleep clinics[J]. Anesth Analg, 2008, 107(3): 915-920.
[9]
Kheterpal S, Martin L, Shanks A M, et al. Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics[J]. Anesthesiology, 2009, 110(4): 891-897.
[10]
Shah P N, Sundaram V. Incidence and predictors of difficult mask ventilation and intubation[J]. J Anaesthesiol Clin Pharmacol, 2012, 28(4): 451-455.
[11]
Toshniwal G, McKelvey G M, Wang H. STOP-Bang and prediction of difficult airway in obese patients[J]. J Clin Anesth, 2014, 26(5): 360-367.
[12]
Acar H V, Yarkan U H, Kaya A, et al. Does the STOP-Bang, an obstructive sleep apnea screening tool, predict difficult intubation?[J]. Eur Rev Med Pharmacol Sci, 2014, 18(13): 1869-1874.
[13]
Opperer M, Cozowicz C, Bugada D, et al. Does obstructive sleep apnea influence perioperative outcome? A qualitative systematic review for the society of anesthesia and sleep medicine task force on preoperative preparation of patients with sleep-disordered breathing[J]. Anesth Analg, 2016, 122(5): 1321-1334.
Fouladpour N, Jesudoss R, Bolden N, et al. Perioperative complications in obstructive sleep apnea patients undergoing surgery: a review of the legal literature[J]. Anesth Analg, 2016, 122(1): 145-151.
[17]
Kim J A, Lee J J. Preoperative predictors of difficult intubation in patients with obstructive sleep apnea syndrome[J]. Can J Anaesth, 2006, 53(4): 393-397.
2019, Vol. 30 
