Präoperativ Flashcards
DMV (difficult mask ventilation)
two or more of the following factors: BMI of at least 30 kg m2; jaw protrusion severely limited; snoring; beard; Mallampati classification 3 or 4; age at least 57 years.
Vorhersage schwieriger oder unmöglicher Intubation
combination of the ULBT (upper lip bite test) with the thyromental distance (threshold: 6.5 cm) and interincisor distance (mouth opening; threshold: 4.5 cm)
Folgende Patientengruppen besonders auf schwierige Intubation untersuchen:
obesity, OSAS, diabetes, fixed cervical spine, ENT diseases and pre-eclampsia.
Neck circumference of more than 45 cm is another warning sign.
predictor for difficult intubation with GlideScope videolaryngoscopy.
ULBT (Upper lip bite test) negativ
Laut ESA empfohlene Tests zur Risikoabschätzung
ASA-PS, RCRI, NSQIP MICA
bei Schenkelhalsfrakturen: Nottingham Hip Fracture SCORE
Falls abgesetzt werden muss:
Aspirin
Clopidogrel / Ticagrelor
Prasugrel
3d
5d
7d