Pre-operatif havayolu değerlendirmesi ve dokümantasyonu için FRONT formülü ile ilgili klinik deneyimler: Çok merkezli bir çalişma

Translated title of the contribution: Clinical experiences with the FRONT formula for pre-operative airway assessment and documentation: A multi-centre study

Calin Mitre, Ileana Mitre, Zoltán Gyöngyösi, Béla Fülesdi, Claudiu Zdrehus, Caius Breazu, Peter Biro

Research output: Contribution to journalArticle

Abstract

Objective: The prediction of difficult airway is one of the most important challenges before general anaesthesia. This study aimed to assess the clinical usefulness of the FRONT score, a recently developed scoring system to predict and document airway difficulties. Methods: This multi-centre, inter-observer, prospective and double-blinded study included 976 patients from two university centres. The pre-operative evaluation of the patients was performed by a pre-operative team of anaesthesiologists (team A) who evaluated and scored the expected difficulty of airway management. An intra-operative team of evaluators (team B) working independently of team A, performed the actual instrumentation of the airway and scored the actual findings. Both teams used the FRONT scoring system and worked independently of each other to ensure blinded assessments. The statistical analysis of the pre- and intra-operative FRONT scores was performed in an off-line blinded manner. Results: Our results show a fair and promising association between pre-operative composite FRONT score and that observed at the induction phase (Spearman=0.43). Among the score components, the best correlation was observed for the F and R components (kappa=0.44 and 0.36, respectively), and the worse correlation was observed for the O and T components (kappa=0.25 and 0.24, respectively). Conclusion: The FRONT formula for the prediction and documentation of the airway status is a simple and effective method for assessing and defining airway management difficulties. Further prospective studies are required to assess the sensitivity and specificity of the system.

Translated title of the contributionClinical experiences with the FRONT formula for pre-operative airway assessment and documentation: A multi-centre study
Original languageTurkish
Pages (from-to)225-230
Number of pages6
JournalTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
Volume45
Issue number4
DOIs
Publication statusPublished - 2017

Keywords

  • Difficult airway
  • Documentation of airway status
  • FRONT score
  • Prediction of intubation

ASJC Scopus subject areas

  • Emergency Medicine
  • Anesthesiology and Pain Medicine

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