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Patients with difficult airways who are going to undergo surgery under general anesthesia require special consideration from an anesthesiologist. Knowing the most significant risk of morbidity and mortality is often due to difficult cases of airway management. One of the most common complications and often becomes lawsuits in the field of anesthesia is dental trauma that occurs during the intubation process due to contact from laryngoscope blade to the teeth. This descriptive study will show the measured force exerted on the maxillary incisors at the time of performing laryngoscopy using a McGrath video laryngoscope in patients with a potentially difficult intubation (LEMON criteria ≥ 3). The contact force exerted on the maxillary incisors is measured using a special instrument. The contact force exerted on the maxillary incisors in patients with a potentially problematic airway was discovered to vary.
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- Lockhart PB, Feldbau EV, Gabel RA, et al. Dental complications during and after tracheal intubation. J Am Dent Assoc. 1986;112(4):480–3. DOI: 10.14219/jada.archive.1986.0035
- Sousa JMBR, Mourão JI B. Tooth injury in anaesthesiology. Brazilian J Anesthesiol. 2015;65(6):511–8. DOI: 10.1016/j.bjane.2013.04.011
- Owen H, Waddell-S I. Dental trauma associated with anaesthesia. Anaesth Intensive Care. 2000;28(2):133–45. DOI: 10.1177/0310057X0002800202
- Windsor J, Lockie J. Anaesthesia and dental trauma. Anaesth Intensive Care Med. 2008;9(8):355–7. DOI:10.1016/j.mpaic.2008.06.006
- Vogel J, Stübinger S, Kaufmann M, et al. Dental injuries resulting from tracheal intubation - A retrospective study. Dent Traumatol. 2009;25(1):73–7. DOI: 10.1111/j.1600-9657.2008.00670.x
- Basavaraju A, Slade K. Dental damage in anaesthesia. Anaesth Intensive Care Med. 2020;21(9):453–6. DOI: 10.1016/j.mpaic.2020.06.004
- Basavaraju A, Slade K. Dental damage in anaesthesia. Anaesth Intensive Care Med. 2017;18(9):438–41. DOI: 10.1016/j.mpaic.2017.06.002
- Schieren M, Kleinschmidt J, Schmutz A, et al. Comparison of forces acting on maxillary incisors during tracheal intubation with different laryngoscopy techniques: a blinded manikin study. Anaesthesia. 2019;74(12):1563–71. DOI: 10.1111/anae.14815
- Newland MC, Ellis SJ, Peters KR, et al. Dental injury associated with anesthesia: A report of 161,687 anesthetics given over 14 years. J Clin Anesth. 2007;19(5):339–45. DOI: 10.1016/j.jclinane.2007.02.007
- Mshelia D, Ogboli-Nwasor E, Isamade E. Use of the “L-E-M-O-N” score in predicting difficult intubation in Africans. Niger J Basic Clin Sci. 2018;15(1):17. DOI: 10.4103/njbcs.njbcs_25_16
- Ji SM, Moon EJ, Kim TJ, et al. Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery. World J Emerg Surg. 2018;13(1):1–6. DOI: 10.1186/s13017-018-0195-0
- Lee RA, Van Zundert AAJ, Maassen RLJG, et al. Forces applied to the maxillary incisors by video laryngoscopes and the Macintosh laryngoscope. Acta Anaesthesiol Scand. 2012;56(2):224–9. DOI: 10.1111/j.1399-6576.2011.02541.x
- Kato Y, Sakuma Y, Momota Y. Comparison of the contact force exerted on teeth by conventional macintosh laryngoscope versus video laryngoscopes. Anesth Prog. 2018;65(3):151–5. DOI: 10.2344/anpr-65-03-01
- Senapathi TGA, Widnyana IGM, Mahaalit IGN, et al. Contact force exerted on the maxillary incisors by direct laryngoscopy with Macintosh and McGrath video laryngoscopy. Bali J Anesthesiol. 2020;4(4):194. DOI: 10.4103/BJOA.BJOA_100_20
- Lee RA, Van Zundert AAJ, Maassen RLJG, et al. Forces applied to the maxillary incisors during video-assisted intubation. Anesth Analg. 2009;108(1):187–91. DOI: 10.1213/ane.0b013e31818d1904
- Shippey B, Ray D, McKeown D. Use of the McGrath® videolaryngoscope in the management of difficult and failed tracheal intubation. Br J Anaesth. 2008;100(1):116–9. DOI: 10.1093/bja/aem303
- Touman AA, Stratakos GK. Long-term complications of tracheal intubation. In: Tracheal Intubation. 2018. p. 89–112.