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Determination of the diagnostic value of the Modified Mallampati Score, Upper Lip Bite Test and Facial Angle in predicting difficult intubation: A prospective descriptive study

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العنوان: Determination of the diagnostic value of the Modified Mallampati Score, Upper Lip Bite Test and Facial Angle in predicting difficult intubation: A prospective descriptive study
المؤلفون: Robab Mehdizadeh Esfanjani, Samad E J Golzari, Saeed Hajmohammadi, Hassan Soleimanpour, Tannaz Pourlak, Masoumeh Amani, Hamzeh Hosseinzadeh, Ata Mahmoodpoor, Arezoo Nejabatian
المصدر: Journal of Clinical Anesthesia. 37:99-102
بيانات النشر: Elsevier BV, 2017.
سنة النشر: 2017
مصطلحات موضوعية: Adult, Time Factors, Adolescent, medicine.medical_treatment, Oral Surgical Procedures, Youden's J statistic, Anesthesia, General, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, 030202 anesthesiology, Intubation, Intratracheal, Humans, Medicine, Intubation, Prospective Studies, 030212 general & internal medicine, Difficult intubation, business.industry, Age Factors, Upper lip, Craniometry, Predictive value, Test (assessment), Radiography, stomatognathic diseases, Anesthesiology and Pain Medicine, Elective Surgical Procedures, Face, Anesthesia, business, Mallampati score, Forecasting
الوصف: Background Difficult intubation is a significant cause of mortality and morbidity related to anesthesia. We decided to evaluate the value of Modified Mallampati Score, Upper Lip Bite Test and Facial Angle in the prediction of difficult intubation. Methods In a prospective descriptive study, data from 132 patients who were candidates for elective maxillofacial surgeries under general anesthesia were gathered. Facial Angles were measured by a maxillofacial surgeon according to cephalometry. The Modified Mallampati Score and Upper Lip Bite Test were first measured by an anesthesiologist and then another anesthesiologist was assigned to record the Cormack and Lehane score during the intubation. Grades 3 and 4 were considered as difficult intubation. Sensitivity, specificity, positive predictive value, negative predictive value and Youden index were calculated for all tests. Results Difficult intubation was reported in 12% of the patients. Facial Angle≤82.5° can predict difficult intubation with 87.5% sensitivity and 88.8% specificity. Among the three tests, a high Modified Mallampati Score had the highest specificity (94.5%) and a high Modified Mallampati Score and Facial Angle (FA≤82.5°) had the highest sensitivity (87.5%). The highest NPV, sensitivity and Youden index were observed when using Facial Angle with the Modified Mallampati Score or with Upper Lip Bite Test. Conclusions Facial Angle has a high sensitivity, NPV and Youden index for the prediction of difficult intubation, but the best result is achieved when Facial Angle is used in combination with either the Modified Mallampati Score or Upper Lip Bit Test.
تدمد: 0952-8180
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::aeae41d554427e500b2ec3c0f31bd847
https://doi.org/10.1016/j.jclinane.2016.12.010
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....aeae41d554427e500b2ec3c0f31bd847
قاعدة البيانات: OpenAIRE
الوصف
تدمد:09528180