{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T13:43:10Z","timestamp":1789825390275,"version":"4.0.1"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Anesth"],"DOI":"10.1007\/s00540-026-03792-y","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T05:57:15Z","timestamp":1781503035000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Predictive value of ultrasound-measured tongue base thickness for upper airway obstruction during monitored anesthesia care: a single-center prospective observational study"],"prefix":"10.1007","author":[{"given":"Koshiro","family":"Kikkawa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoi","family":"Takeuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daigo","family":"Sakaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Nakamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuro","family":"Yokoyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroha","family":"Shibata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryohei","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Yatabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"3792_CR1","volume":"16","author":"D Shah","year":"2024","unstructured":"Shah D, Sen J, Bawiskar D. Non-operating room anesthesia (NORA): a comprehensive review of monitored anesthesia care. Cureus. 2024;16:e68024.","journal-title":"Cureus"},{"key":"3792_CR2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045330","volume":"11","author":"B L\u00f6ser","year":"2021","unstructured":"L\u00f6ser B, Haas A, Zitzmann A, Dankert A, Treskatsch S, Reuter DA,  Haas S, Glass \u00c4, Petzoldt  M. Institutional infrastructural preconditions and current perioperative anaesthesia practice in patients undergoing transfemoral transcatheter aortic valve implantation: a cross-sectional study in German heart centres. BMJ Open. 2021;11:e045330.","journal-title":"BMJ Open"},{"key":"3792_CR3","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1016\/j.jcin.2020.03.008","volume":"13","author":"NM Butala","year":"2020","unstructured":"Butala NM, Chung M, Secemsky EA, Manandhar P, Marquis-Gravel G, Kosinski AS, Vemulapalli S, Yeh RW, Cohen DJ. Conscious sedation versus general anesthesia for transcatheter aortic valve replacement: variation in practice and outcomes. JACC Cardiovasc Interv. 2020;13:1277\u201387.","journal-title":"JACC Cardiovasc Interv"},{"key":"3792_CR4","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-024-02834-w","volume":"24","author":"L Xie","year":"2024","unstructured":"Xie L, Lang Z, Liu Y, Yue H, Chen Q, Tao G. Whether monitored anesthesia care is the optimal anesthetic strategy for transcatheter aortic valve implantation surgery? A meta-analysis and systematic review. BMC Anesthesiol. 2024;24:429.","journal-title":"BMC Anesthesiol"},{"key":"3792_CR5","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1093\/bja\/aes022","volume":"108","author":"F Chung","year":"2012","unstructured":"Chung F, Subramanyam R, Liao P, Sasaki E, Shapiro CM, Sun Y. High STOP-Bang score indicates a high probability of obstructive sleep apnea. Br J Anaesth. 2012;108:768\u201375.","journal-title":"Br J Anaesth"},{"key":"3792_CR6","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-021-01403-9","volume":"21","author":"S Kim","year":"2021","unstructured":"Kim S, Chang BA, Rahman A, Lin HM, Demaria S Jr, Zerillo J, Wax DB. Analysis of urgent\/emergent conversions from monitored anesthesia care to general anesthesia with airway instrumentation. BMC Anesthesiol. 2021;21:183.","journal-title":"BMC Anesthesiol"},{"key":"3792_CR7","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1016\/j.gie.2018.09.001","volume":"89","author":"ZL Smith","year":"2019","unstructured":"Smith ZL, Mullady DK, Lang GD, Das KK, Hovis RM, Patel RS, Hollander TG, Elsner J, Ifune  C, Kushnir VM. A randomized controlled trial evaluating general endotracheal anesthesia versus monitored anesthesia care and the incidence of sedation-related adverse events during ERCP in high-risk patients. Gastrointest Endosc. 2019;89:855\u201362.","journal-title":"Gastrointest Endosc"},{"key":"3792_CR8","doi-asserted-by":"publisher","first-page":"1673","DOI":"10.1213\/ANE.0000000000004350","volume":"129","author":"M Singh","year":"2019","unstructured":"Singh M, Tuteja A, Wong DT, Goel A, Trivedi A, Tomlinson G, Chan V. Point-of-care ultrasound for obstructive sleep apnea screening: are we there yet? A systematic review and meta-analysis. Anesth Analg. 2019;129:1673\u201391.","journal-title":"Anesth Analg"},{"key":"3792_CR9","doi-asserted-by":"publisher","first-page":"26","DOI":"10.23736\/S0375-9393.20.14455-9","volume":"87","author":"A Bianchini","year":"2021","unstructured":"Bianchini A, Nardozi L, Nardi E, Scuppa MF. Airways ultrasound in predicting difficult face mask ventilation. Minerva Anestesiol. 2021;87:26\u201334.","journal-title":"Minerva Anestesiol"},{"key":"3792_CR10","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-021-00472-w","volume":"21","author":"M Sotoodehnia","year":"2021","unstructured":"Sotoodehnia M, Rafiemanesh H, Mirfazaelian H, Safaie A, Baratloo A. Ultrasonography indicators for predicting difficult intubation: a systematic review and meta-analysis. BMC Emerg Med. 2021;21:76.","journal-title":"BMC Emerg Med"},{"key":"3792_CR11","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1093\/bja\/aex051","volume":"118","author":"W Yao","year":"2017","unstructured":"Yao W, Wang B. Can tongue thickness measured by ultrasonography predict difficult tracheal intubation? Br J Anaesth. 2017;118:601\u20139.","journal-title":"Br J Anaesth"},{"key":"3792_CR12","doi-asserted-by":"publisher","first-page":"629","DOI":"10.4103\/ija.IJA_270_19","volume":"63","author":"NK Yadav","year":"2019","unstructured":"Yadav NK, Rudingwa P, Mishra SK, Pannerselvam S. Ultrasound measurement of anterior neck soft tissue and tongue thickness to predict difficult laryngoscopy: an observational analytical study. Indian J Anaesth. 2019;63:629\u201334.","journal-title":"Indian J Anaesth"},{"key":"3792_CR13","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000018305","volume":"99","author":"L Xu","year":"2020","unstructured":"Xu L, Dai S, Sun L, Shen J, Lv C, Chen X. Evaluation of 2 ultrasonic indicators as predictors of difficult laryngoscopy in pregnant women: a prospective, double blinded study. Medicine (Baltimore). 2020;99:e18305.","journal-title":"Medicine (Baltimore)"},{"key":"3792_CR14","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1097\/ALN.0b013e318278c8b6","volume":"118","author":"BS Kodali","year":"2013","unstructured":"Kodali BS. Capnography outside the operating rooms. Anesthesiology. 2013;118:192\u2013201.","journal-title":"Anesthesiology"},{"key":"3792_CR15","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1038\/bmt.2012.244","volume":"48","author":"Y Kanda","year":"2013","unstructured":"Kanda Y. Investigation of the freely available easy-to-use software \u201cEZR\u201d for medical statistics. Bone Marrow Transplant. 2013;48:452\u20138.","journal-title":"Bone Marrow Transplant"},{"key":"3792_CR16","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/s41606-023-00094-0","volume":"7","author":"T Hirasawa","year":"2023","unstructured":"Hirasawa T, Kobayashi M, Nakayama H, Yanagihara M, Inoue Y. Anthropometric screening approach for obstructive sleep apnea in Japanese men: development and validation of the ABC scale. Sleep Sci Pract. 2023;7:10.","journal-title":"Sleep Sci Pract"},{"key":"3792_CR17","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1097\/EJA.0000000000001805","volume":"40","author":"G Giordano","year":"2023","unstructured":"Giordano G, Alessandri F, Zulian A, Bilotta F, Pugliese F. Pre-operative ultrasound prediction of difficult airway management in adult patients: a systematic review of clinical evidence. Eur J Anaesthesiol. 2023;40:313\u201325.","journal-title":"Eur J Anaesthesiol"},{"key":"3792_CR18","doi-asserted-by":"publisher","first-page":"1951","DOI":"10.12998\/wjcc.v11.i9.1951","volume":"11","author":"H Nakazawa","year":"2023","unstructured":"Nakazawa H, Uzawa K, Tokumine J, Lefor AK, Motoyasu A, Yorozu T. Airway ultrasound for patients anticipated to have a difficult airway: perspective for personalized medicine. World J Clin Cases. 2023;11:1951\u201362.","journal-title":"World J Clin Cases"},{"key":"3792_CR19","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13132262","volume":"13","author":"A Kalkanis","year":"2023","unstructured":"Kalkanis A, Testelmans D, Papadopoulos D, Van den Driessche A, Buyse B. Insights into the use of point-of-care ultrasound for diagnosing obstructive sleep apnea. Diagnostics. 2023;13:2262.","journal-title":"Diagnostics"},{"key":"3792_CR20","doi-asserted-by":"publisher","DOI":"10.3390\/diseases12120330","volume":"12","author":"M Smiesko","year":"2024","unstructured":"Smiesko M, Jenigarova E, Stanko P, Kasa Z, Cavarga I, Lassan S. Tongue ultrasonography in the screening of severe obstructive sleep apnea syndrome-promising potential for overloaded sleep centers. Diseases. 2024;12:330.","journal-title":"Diseases"},{"key":"3792_CR21","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1016\/j.jfma.2020.05.020","volume":"120","author":"YC Huang","year":"2021","unstructured":"Huang YC, Hsu YB, Lan MY, Yang MC, Kao MC, Huang TT, Lan MC. Dynamic tongue base thickness measured by drug-induced sleep ultrasonography in patients with obstructive sleep apnea. J Formos Med Assoc. 2021;120:354\u201360.","journal-title":"J Formos Med Assoc"},{"key":"3792_CR22","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-21695-2","volume":"12","author":"X Wang","year":"2022","unstructured":"Wang X, Wang Y, Zheng ZW, Liu YR, Ma WH. Ultrasound measurements for evaluation of changes in upper airway during anaesthesia induction and prediction difficult laryngoscopy: a prospective observational study. Sci Rep. 2022;12:18564.","journal-title":"Sci Rep"},{"key":"3792_CR23","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1097\/SGA.0000000000000574","volume":"44","author":"R Bray","year":"2021","unstructured":"Bray R, Knapp H. Identifying predictors of airway complications during conscious sedation procedures. Gastroenterol Nurs. 2021;44:310\u20139.","journal-title":"Gastroenterol Nurs"},{"key":"3792_CR24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2023.111160","volume":"89","author":"N Fitzgerald","year":"2023","unstructured":"Fitzgerald N, Thiruvenkatarajan V, Brown-Beresford K, Liu WM, Gupta D, Van Wijk RM, Ludbrook GL. Incidence and predictors of airway obstruction during high-flow nasal oxygen assisted procedural sedation during gastrointestinal interventions: a prospective observational study. J Clin Anesth. 2023;89:111160.","journal-title":"J Clin Anesth"},{"key":"3792_CR25","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1097\/00000542-200509000-00007","volume":"103","author":"PR Eastwood","year":"2005","unstructured":"Eastwood PR, Platt PR, Shepherd K, Maddison K, Hillman DR. Collapsibility of the upper airway at different concentrations of propofol anesthesia. Anesthesiology. 2005;103:470\u20137.","journal-title":"Anesthesiology"},{"issue":"2","key":"3792_CR26","doi-asserted-by":"publisher","first-page":"134","DOI":"10.4097\/kja.20114","volume":"74","author":"R Agarwal","year":"2021","unstructured":"Agarwal R, Jain G, Agarwal A, Govil N. Effectiveness of four ultrasonographic parameters as predictors of difficult intubation in patients without anticipated difficult airway. Korean J Anesthesiol. 2021;74(2):134\u201341.","journal-title":"Korean J Anesthesiol"},{"key":"3792_CR27","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1016\/j.gie.2013.09.022","volume":"79","author":"PP Mehta","year":"2014","unstructured":"Mehta PP, Kochhar G, Kalra S, Maurer W, Tetzlaff J, Singh G, Lopez R, Sanaka MR, Vargo JJ. Can a validated sleep apnea scoring system predict cardiopulmonary events using propofol sedation for routine EGD or colonoscopy? A prospective cohort study. Gastrointest Endosc. 2014;79:436\u201344.","journal-title":"Gastrointest Endosc"}],"container-title":["Journal of Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00540-026-03792-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00540-026-03792-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00540-026-03792-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T20:04:04Z","timestamp":1785787444000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00540-026-03792-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,15]]},"references-count":27,"alternative-id":["3792"],"URL":"https:\/\/doi.org\/10.1007\/s00540-026-03792-y","relation":{},"ISSN":["0913-8668","1438-8359"],"issn-type":[{"value":"0913-8668","type":"print"},{"value":"1438-8359","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,15]]},"assertion":[{"value":"22 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors have no potential conflicts of interest to declare.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was reviewed and approved by the Institutional Review Board of Ogaki Municipal Hospital (IRB number: 20240725-2). Written informed consent to participate in this study was obtained from all participants.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}