Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery
Abstract Background 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...
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| Format: | Article |
| Language: | English |
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BMC
2018-07-01
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| Series: | World Journal of Emergency Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13017-018-0195-0 |
| _version_ | 1811223345824268288 |
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| author | Sung-Mi Ji Eun-Jin Moon Tae-Jun Kim Jae-Woo Yi Hyungseok Seo Bong-Jae Lee |
| author_facet | Sung-Mi Ji Eun-Jin Moon Tae-Jun Kim Jae-Woo Yi Hyungseok Seo Bong-Jae Lee |
| author_sort | Sung-Mi Ji |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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. Results The modified LEMON score was significantly correlated with the IDS score (P < 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, P = 0.017). Limited neck mobility was the only independent predictor of intubation difficulty (odds ratio, 6.15; P = 0.002). Conclusion The modified LEMON score is correlated with difficult intubation in adult trauma patients undergoing emergency surgery. |
| first_indexed | 2024-04-12T08:31:19Z |
| format | Article |
| id | doaj.art-df90eba5ef534c07a93a07cc1526ecbe |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-04-12T08:31:19Z |
| publishDate | 2018-07-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-df90eba5ef534c07a93a07cc1526ecbe2022-12-22T03:40:13ZengBMCWorld Journal of Emergency Surgery1749-79222018-07-011311610.1186/s13017-018-0195-0Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgerySung-Mi Ji0Eun-Jin Moon1Tae-Jun Kim2Jae-Woo Yi3Hyungseok Seo4Bong-Jae Lee5Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook UniversityDepartment of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee UniversityDepartment of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee UniversityDepartment of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee UniversityDepartment of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee UniversityDepartment of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee UniversityAbstract Background 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. Methods 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. Results The modified LEMON score was significantly correlated with the IDS score (P < 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, P = 0.017). Limited neck mobility was the only independent predictor of intubation difficulty (odds ratio, 6.15; P = 0.002). Conclusion The modified LEMON score is correlated with difficult intubation in adult trauma patients undergoing emergency surgery.http://link.springer.com/article/10.1186/s13017-018-0195-0AirwayDifficult intubationEmergency surgeryLEMON scoreTrauma |
| spellingShingle | Sung-Mi Ji Eun-Jin Moon Tae-Jun Kim Jae-Woo Yi Hyungseok Seo Bong-Jae Lee Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery World Journal of Emergency Surgery Airway Difficult intubation Emergency surgery LEMON score Trauma |
| title | Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery |
| title_full | Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery |
| title_fullStr | Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery |
| title_full_unstemmed | Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery |
| title_short | Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery |
| title_sort | correlation between modified lemon score and intubation difficulty in adult trauma patients undergoing emergency surgery |
| topic | Airway Difficult intubation Emergency surgery LEMON score Trauma |
| url | http://link.springer.com/article/10.1186/s13017-018-0195-0 |
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