Comparison of preoperative tests for predicting difficult endotracheal intubation; [Zor endotrakeal entübasyonun tahmininde preoperatif testlerin etkinliǧinin karşilaştirilmasi]
| dc.contributor.author | Sabanci Ü. | |
| dc.contributor.author | Topçu I. | |
| dc.contributor.author | Tekin S. | |
| dc.contributor.author | Ekici N.Z. | |
| dc.contributor.author | Lüleci N. | |
| dc.date.accessioned | 2024-07-22T08:23:08Z | |
| dc.date.available | 2024-07-22T08:23:08Z | |
| dc.date.issued | 2006 | |
| dc.description.abstract | Aim: Many different teats were proposed preoperatively to predict difficult endotracheal intubations. In this prospective study, we aimed to assess the effectiveness of the tests for predicting difficult intubation. Materials and Methods: 603 adult patients (238 male, 365 female) submitted for elective surgery under general anesthesia were included in this study. Age, height, weight, interincisor gap, neck circumference, sternomental and thyromental distance were recorded during prcoperative evaluation. Wilson risk score, modified Mallampati classification, head-neck movement, mandibular protrusion, history of difficult laryngoscopy or intubation and anatomic anomalies were also noted. Cormack and Lehane classification was used for visualization of the larynx. The number and duration of attempts at each tracheal intubation were recorded. Results: Tracheal intubations were difficult to perform in 25 (4.1%) patients. There was not any significant correlation between the difficult intubation and weight, thyromental and sternomental distances, mandibular protrusion and limited neck extension of the patients (p>0.05). Difficult intubations had significant association with increased age, male sex, two and more Wilson's risk score, mean interincisor gap and neck circumference, increased Mallampati score, Cormack-Lehane Grade 3 or 4 and decreased mouth opening (p<0.05). <2 cm interincisor gap had high (99 %) specificity. Also sensitivity of Cormack-Lehane Grade 3 or 4 was found higher (71%) than other parameters. Concluions: Cormack and Lehane classification is the most valuable test for predicting difficult intubation. Therefore laringoscopic view must be evaluated well and suitable position for the patient must be obtained. The highest specificity (99.8%) and positive predictive value (50%) belongs to <2 cm interincisor gap in our patients as a preoperative test. Not all but some of the preoperative tents have significant predictive value for difficult intubation. | |
| dc.identifier.issn | 13040871 | |
| dc.identifier.uri | http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19381 | |
| dc.language.iso | Turkish | |
| dc.title | Comparison of preoperative tests for predicting difficult endotracheal intubation; [Zor endotrakeal entübasyonun tahmininde preoperatif testlerin etkinliǧinin karşilaştirilmasi] | |
| dc.type | Article |