Implications of Age-Related Changes in Anatomy for Geriatric-Focused Difficult Airways
The structure and function surrounding the airway change by the age, which may ultimately result in having anatomic features of difficult airways in the elderly. Hence, we reviewed the literature focusing on the age-related anatomic changes and accordingly to compare the characteristics of difficult...
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2017-09-01
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doaj-78f9bd29db9845419637158136b4e7892020-11-24T22:12:27ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982017-09-0111313013310.1016/j.ijge.2016.11.003Implications of Age-Related Changes in Anatomy for Geriatric-Focused Difficult AirwaysShih-Yi Lee0Shou-Chuan Shih1Yi-Shing Leu2Wen-Han Chang3Hsin-Chang Lin4Hui-Chun Ku5Division of Pulmonary and Critical Care Medicine, Mackay Memorial Hospital, TaiwanMackay Medicine, Nursing and Management College, TaiwanMackay Medicine, Nursing and Management College, TaiwanDepartment of Emergency Medicine, Mackay Memorial Hospital, TaiwanGraduate Institute of Mechatronic Engineering, National Taipei University of Technology, TaiwanDepartment and Graduate Institute of Pharmacology, College of Medicine, National Taiwan University, TaiwanThe structure and function surrounding the airway change by the age, which may ultimately result in having anatomic features of difficult airways in the elderly. Hence, we reviewed the literature focusing on the age-related anatomic changes and accordingly to compare the characteristics of difficult airways. With age, teeth wear and loss, protein and collagen synthesis reduction, and bone loss and muscle atrophy results in aged face (chin protrusion, cheek retraction and drooping), jaw restriction (temporo-madibular joint disc displacement and osteoarthritis), neck and back stiffness, and kyphotic deformities (degeneration of spinal articular cartilage, intervertebral discs, and spinal osteoporosis). These age-related changes in anatomy are compatible with the predictors of a difficult airway. We hope that these age-related anatomic approaches will prospectively allow a detailed understanding of the hallmarks resulting in geriatric-focused difficult airways in the future studies.http://www.sciencedirect.com/science/article/pii/S1873959817302120difficult airwaysdifficult intubationdifficult mask ventilationgeriatric airway |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shih-Yi Lee Shou-Chuan Shih Yi-Shing Leu Wen-Han Chang Hsin-Chang Lin Hui-Chun Ku |
spellingShingle |
Shih-Yi Lee Shou-Chuan Shih Yi-Shing Leu Wen-Han Chang Hsin-Chang Lin Hui-Chun Ku Implications of Age-Related Changes in Anatomy for Geriatric-Focused Difficult Airways International Journal of Gerontology difficult airways difficult intubation difficult mask ventilation geriatric airway |
author_facet |
Shih-Yi Lee Shou-Chuan Shih Yi-Shing Leu Wen-Han Chang Hsin-Chang Lin Hui-Chun Ku |
author_sort |
Shih-Yi Lee |
title |
Implications of Age-Related Changes in Anatomy for Geriatric-Focused Difficult Airways |
title_short |
Implications of Age-Related Changes in Anatomy for Geriatric-Focused Difficult Airways |
title_full |
Implications of Age-Related Changes in Anatomy for Geriatric-Focused Difficult Airways |
title_fullStr |
Implications of Age-Related Changes in Anatomy for Geriatric-Focused Difficult Airways |
title_full_unstemmed |
Implications of Age-Related Changes in Anatomy for Geriatric-Focused Difficult Airways |
title_sort |
implications of age-related changes in anatomy for geriatric-focused difficult airways |
publisher |
Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
series |
International Journal of Gerontology |
issn |
1873-9598 |
publishDate |
2017-09-01 |
description |
The structure and function surrounding the airway change by the age, which may ultimately result in having anatomic features of difficult airways in the elderly. Hence, we reviewed the literature focusing on the age-related anatomic changes and accordingly to compare the characteristics of difficult airways. With age, teeth wear and loss, protein and collagen synthesis reduction, and bone loss and muscle atrophy results in aged face (chin protrusion, cheek retraction and drooping), jaw restriction (temporo-madibular joint disc displacement and osteoarthritis), neck and back stiffness, and kyphotic deformities (degeneration of spinal articular cartilage, intervertebral discs, and spinal osteoporosis). These age-related changes in anatomy are compatible with the predictors of a difficult airway. We hope that these age-related anatomic approaches will prospectively allow a detailed understanding of the hallmarks resulting in geriatric-focused difficult airways in the future studies. |
topic |
difficult airways difficult intubation difficult mask ventilation geriatric airway |
url |
http://www.sciencedirect.com/science/article/pii/S1873959817302120 |
work_keys_str_mv |
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