Trends in Preoperative Airway Assessment

Airway management is a vital part of anesthesia practices, intensive care units, and emergency departments, and a proper pre-operative assessment can guide clinicians’ plans for securing an airway. Complex airway assessment has recently been at the forefront of anesthesia research, with a substantia...

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Main Authors: Ioan Florin Marchis, Matei Florin Negrut, Cristina Maria Blebea, Mirela Crihan, Alexandru Leonard Alexa, Caius Mihai Breazu
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/14/6/610
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author Ioan Florin Marchis
Matei Florin Negrut
Cristina Maria Blebea
Mirela Crihan
Alexandru Leonard Alexa
Caius Mihai Breazu
author_facet Ioan Florin Marchis
Matei Florin Negrut
Cristina Maria Blebea
Mirela Crihan
Alexandru Leonard Alexa
Caius Mihai Breazu
author_sort Ioan Florin Marchis
collection DOAJ
description Airway management is a vital part of anesthesia practices, intensive care units, and emergency departments, and a proper pre-operative assessment can guide clinicians’ plans for securing an airway. Complex airway assessment has recently been at the forefront of anesthesia research, with a substantial increase in annual publications during the last 20 years. In this paper, we provide an extensive overview of the literature connected with pre-operative airway evaluation procedures, ranging from essential bedside physical examinations to advanced imaging techniques such as ultrasound (US), radiography, computed tomography (CT), and magnetic resonance imaging (MRI). We discuss transnasal endoscopy, virtual endoscopy, 3D reconstruction-based technologies, and artificial intelligence (AI) as emerging airway evaluation techniques. The management of distorted upper airways associated with head and neck pathology can be challenging due to the intricate anatomy. We present and discuss the role of recent technological advancements in recognizing difficult airways and assisting clinical decision making while highlighting current limitations and pinpointing future research directions.
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spelling doaj.art-b9a28e75aae7440b9f3aee58879128af2024-03-27T13:33:19ZengMDPI AGDiagnostics2075-44182024-03-0114661010.3390/diagnostics14060610Trends in Preoperative Airway AssessmentIoan Florin Marchis0Matei Florin Negrut1Cristina Maria Blebea2Mirela Crihan3Alexandru Leonard Alexa4Caius Mihai Breazu5Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, RomaniaFaculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, RomaniaOtorhinolaryngology Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania1st Department of Anesthesia and Intensive Care, “Iuliu Haţieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania1st Department of Anesthesia and Intensive Care, “Iuliu Haţieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, RomaniaDepartment of Anesthesia and Intensive Care “Clinicilor 4-6”, Cluj County Emgency Clinical Hospital, 400349 Cluj-Napoca, RomaniaAirway management is a vital part of anesthesia practices, intensive care units, and emergency departments, and a proper pre-operative assessment can guide clinicians’ plans for securing an airway. Complex airway assessment has recently been at the forefront of anesthesia research, with a substantial increase in annual publications during the last 20 years. In this paper, we provide an extensive overview of the literature connected with pre-operative airway evaluation procedures, ranging from essential bedside physical examinations to advanced imaging techniques such as ultrasound (US), radiography, computed tomography (CT), and magnetic resonance imaging (MRI). We discuss transnasal endoscopy, virtual endoscopy, 3D reconstruction-based technologies, and artificial intelligence (AI) as emerging airway evaluation techniques. The management of distorted upper airways associated with head and neck pathology can be challenging due to the intricate anatomy. We present and discuss the role of recent technological advancements in recognizing difficult airways and assisting clinical decision making while highlighting current limitations and pinpointing future research directions.https://www.mdpi.com/2075-4418/14/6/610airway assessmentdifficult airwayultrasoundcomputed tomographymagnetic resonance imagingvirtual endoscopy
spellingShingle Ioan Florin Marchis
Matei Florin Negrut
Cristina Maria Blebea
Mirela Crihan
Alexandru Leonard Alexa
Caius Mihai Breazu
Trends in Preoperative Airway Assessment
Diagnostics
airway assessment
difficult airway
ultrasound
computed tomography
magnetic resonance imaging
virtual endoscopy
title Trends in Preoperative Airway Assessment
title_full Trends in Preoperative Airway Assessment
title_fullStr Trends in Preoperative Airway Assessment
title_full_unstemmed Trends in Preoperative Airway Assessment
title_short Trends in Preoperative Airway Assessment
title_sort trends in preoperative airway assessment
topic airway assessment
difficult airway
ultrasound
computed tomography
magnetic resonance imaging
virtual endoscopy
url https://www.mdpi.com/2075-4418/14/6/610
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