Tags

Type your tag names separated by a space and hit enter

[Comparison of different tests to determine difficult intubation in pediatric patients].
Rev Bras Anestesiol. 2014 Nov-Dec; 64(6):391-4.RB

Abstract

BACKGROUND

The difficulties with airway management is the main reason for pediatric anesthesia-related morbidity and mortality.

OBJECTIVE

To assess the value of modified Mallampati test, Upper-Lip-Bite test, thyromental distance and the ratio of height to thyromental distance to predict difficult intubation in pediatric patients.

DESIGN

Prospective analysis.

MEASUREMENTS AND RESULTS

Data were collected from 5 to 11 years old 250 pediatric patients requiring tracheal intubation. The Cormack and Lehane classification was used to evaluate difficult laryngoscopy. Sensitivity, specificity, positive predictive value and AUC values for each test were measured.

RESULTS

The sensitivity and specificity of modified Mallampati test were 76.92% and 95.54%, while those for ULBT were 69.23% and 97.32%. The optimal cutoff point for the ratio of height to thyromental distance and thyromental distance for predicting difficult laryngoscopy was 23.5 (sensitivity, 57.69%; specificity, 86.61%) and 5.5cm (sensitivity, 61.54%; specificity, 99.11%). The modified Mallampati was the most sensitive of the tests. The ratio of height to thyromental distance was the least sensitive test.

CONCLUSION

These results suggested that the modified Mallampati and Upper-Lip-Bite tests may be useful in pediatric patients for predicting difficult intubation.

Authors+Show Affiliations

Departamento de Anestesiologia e Reanimação, Trakya University Faculty of Medicine, Edirne, Turquia. Electronic address: mehmetturaninal@yahoo.com.Departamento de Anestesiologia e Reanimação, Trakya University Faculty of Medicine, Edirne, Turquia.Departamento de Anestesiologia e Reanimação, Trakya University Faculty of Medicine, Edirne, Turquia.Departamento de Anestesiologia e Reanimação, Trakya University Faculty of Medicine, Edirne, Turquia.

Pub Type(s)

English Abstract
Journal Article

Language

por

PubMed ID

25437694

Citation

Inal, Mehmet Turan, et al. "[Comparison of Different Tests to Determine Difficult Intubation in Pediatric Patients]." Revista Brasileira De Anestesiologia, vol. 64, no. 6, 2014, pp. 391-4.
Inal MT, Memiş D, Sahin SH, et al. [Comparison of different tests to determine difficult intubation in pediatric patients]. Rev Bras Anestesiol. 2014;64(6):391-4.
Inal, M. T., Memiş, D., Sahin, S. H., & Gunday, I. (2014). [Comparison of different tests to determine difficult intubation in pediatric patients]. Revista Brasileira De Anestesiologia, 64(6), 391-4. https://doi.org/10.1016/j.bjan.2014.02.001
Inal MT, et al. [Comparison of Different Tests to Determine Difficult Intubation in Pediatric Patients]. Rev Bras Anestesiol. 2014 Nov-Dec;64(6):391-4. PubMed PMID: 25437694.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comparison of different tests to determine difficult intubation in pediatric patients]. AU - Inal,Mehmet Turan, AU - Memiş,Dilek, AU - Sahin,Sevtap Hekimoglu, AU - Gunday,Isıl, Y1 - 2014/08/28/ PY - 2013/11/04/received PY - 2014/02/05/accepted PY - 2014/12/2/entrez PY - 2014/12/2/pubmed PY - 2014/12/2/medline KW - Difficult intubation KW - Intubação difícil KW - Pediatria KW - Pediatrics KW - Predictive tests KW - Testes preditivos SP - 391 EP - 4 JF - Revista brasileira de anestesiologia JO - Rev Bras Anestesiol VL - 64 IS - 6 N2 - BACKGROUND: The difficulties with airway management is the main reason for pediatric anesthesia-related morbidity and mortality. OBJECTIVE: To assess the value of modified Mallampati test, Upper-Lip-Bite test, thyromental distance and the ratio of height to thyromental distance to predict difficult intubation in pediatric patients. DESIGN: Prospective analysis. MEASUREMENTS AND RESULTS: Data were collected from 5 to 11 years old 250 pediatric patients requiring tracheal intubation. The Cormack and Lehane classification was used to evaluate difficult laryngoscopy. Sensitivity, specificity, positive predictive value and AUC values for each test were measured. RESULTS: The sensitivity and specificity of modified Mallampati test were 76.92% and 95.54%, while those for ULBT were 69.23% and 97.32%. The optimal cutoff point for the ratio of height to thyromental distance and thyromental distance for predicting difficult laryngoscopy was 23.5 (sensitivity, 57.69%; specificity, 86.61%) and 5.5cm (sensitivity, 61.54%; specificity, 99.11%). The modified Mallampati was the most sensitive of the tests. The ratio of height to thyromental distance was the least sensitive test. CONCLUSION: These results suggested that the modified Mallampati and Upper-Lip-Bite tests may be useful in pediatric patients for predicting difficult intubation. SN - 1806-907X UR - https://www.unboundmedicine.com/medline/citation/25437694/[Comparison_of_different_tests_to_determine_difficult_intubation_in_pediatric_patients]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0034-7094(14)00019-1 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.