{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:21:43Z","timestamp":1787764903237,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>STOP-BANG questionnaire is an established tool for obstructive sleep apnea (OSA) screening. Its utility in predicting difficult airway has not been evaluated. We intend to assess difficulty in airway management and associated perioperative complications in patients with undiagnosed OSA using the STOP-BANG questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We performed a prospective observational study on 250 patients with the American Society of Anesthesiologists Physical Status Class I-II, aged 18\u201365 years STOP-BANG score were recorded. Occurrences of difficult mask ventilation (DMV), laryngoscopy, and intubation were assessed using mask ventilation grade, intubation difficulty score intubation difficult score (IDS), and modified Cormack\u2013Lehane grading during induction of anesthesia. Hypoxic events, hemodynamic disturbances, laryngospasm, and bronchospasm were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Overall, 250 patients completed the study (Group H: n = 102, with STOP-BANG questionnaire \u22653 and Group L: n = 148, with STOP-BANG criteria &lt; 3). A total of 67 (26.8%) cases of DMV and 63 (25.2%) cases of difficult tracheal intubation (DIT) were encountered overall. The proportion of patients with DMV during induction was 59.8% in Group H versus 4.05% in Group L (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). A higher incidence of difficult intubation was observed in Group H (56.9% vs. 11.5%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). More patients in Group H had airway complications such as bleeding and injury to the posterior pharyngeal wall or teeth (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Complications such as hypoxia, hypertension, and tachycardia were observed to be higher in Group H (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>STOP-BANG questionnaire is an effective bedside preoperative tool that helps in identifying unanticipated difficult airway.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_2_23","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T13:00:49Z","timestamp":1699621249000},"page":"520-525","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Preoperative STOP-BANG Questionnaire to Predict Difficult Airway in Undiagnosed Obstructive Sleep Apnea Patients Undergoing Elective Gynecological Surgeries under General Endotracheal Anesthesia: A Prospective Observational Study"],"prefix":"10.4103","volume":"22","author":[{"given":"Srinivas Hebbal","family":"Thammaiah","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmi Hosahalli","family":"Sreenath","sequence":"additional","affiliation":[{"name":"Department of OBG, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girish Bandigowdanahalli","family":"Kumararadhya","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nivetha","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.N.","family":"Archana","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"key":"R1-20260512","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1097\/ALN.0b013e31816d83e4","article-title":"STOP questionnaire: A tool to screen patients for obstructive sleep 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A critical review of the experimental evidence","volume":"17","author":"Phillips","year":"2013","journal-title":"Sleep Med Rev"},{"key":"R10-20260512","doi-asserted-by":"crossref","first-page":"384","DOI":"10.5144\/0256-4947.2012.384","article-title":"Relationship between obstructive sleep apnea severity index and left ventricular function and volume","volume":"32","author":"Altintas","year":"2012","journal-title":"Ann Saudi Med"},{"key":"R11-20260512","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1093\/bja\/aes022","article-title":"High STOP-Bang score indicates a high probability of obstructive sleep apnoea","volume":"108","author":"Chung","year":"2012","journal-title":"Br J Anaesth"},{"key":"R12-20260512","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/j.sleep.2008.08.007","article-title":"Prevalence of undiagnosed obstructive sleep apnea among adult surgical patients in an academic medical 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