Airway management

Assessment of the reliability of virtual preanesthetic airway evaluation compared to traditional in-person airway evaluation: a prospective observational study

Can J AnaesthPublished Prospective observational study

Authors' conclusion

Virtual airway evaluations performed by anesthesiologists and medical students had fair and good inter-rater agreement, respectively, with in-person anesthesiologist airway evaluations.

Study context

Population
Participants undergoing preanesthetic airway evaluation100 completed all evaluations
Participants
111 participants
Exposure
Virtual airway evaluation (VAE) by anesthesiologists or medical students vs in-person anesthesiologist airway evaluation
Outcome
Inter-rater agreement of total airway scores (Cohen's Kappa) between in-person anesthesiologist evaluation and VAEs
Methodological detailsinter-rater agreement
  • Inter-rater agreement

Main finding

As reported in the abstract

Cohen's Kappa

0.21

97.5% CI 0.07–0.34

Anesthesiologist VAE · fair agreement

Cohen's Kappa

0.74

97.5% CI 0.62–0.86

Medical student VAE · good agreement

Observational data: associations, not effects.

Secondary outcomes

Participants with difficult intubation
1

Original publication

Assessment of the reliability of virtual preanesthetic airway evaluation compared to traditional in-person airway evaluation: a prospective observational study. Can J Anaesth. Published 14 November 2022. doi:10.1007/s12630-022-02345-7

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