Cargando…

Which test best predicts difficult endotracheal intubation? A prospective cohort study

BACKGROUND: It is critical to identify patients whose intubation will be difficult to ensure that necessary precautions are taken. In this study, we aimed to show the power of almost all tests used to predict difficult endotracheal intubation (DEI), and to determine which test are more accurate for...

Descripción completa

Detalles Bibliográficos
Autores principales: Alp, Güray, Koşucu, Müge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kare Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10214888/
https://www.ncbi.nlm.nih.gov/pubmed/36995200
http://dx.doi.org/10.14744/tjtes.2022.34460
_version_ 1785047934654480384
author Alp, Güray
Koşucu, Müge
author_facet Alp, Güray
Koşucu, Müge
author_sort Alp, Güray
collection PubMed
description BACKGROUND: It is critical to identify patients whose intubation will be difficult to ensure that necessary precautions are taken. In this study, we aimed to show the power of almost all tests used to predict difficult endotracheal intubation (DEI), and to determine which test are more accurate for this purpose. METHODS: This observational study conducted between May 2015 and January 2016 at department of anesthesiology of a tertiary hospital in Turkey (n=501). A total of 25 parameters and 22 tests used for DEI were compared according to groups formed according to the Cormack-Lehane classification (gold standard). RESULTS: The mean age was 49.83±14.00 years, and 259 (51.70%) patients were males. We found difficult intubation frequency to be 7.58%. Mallampati classification, atlanto-occipital joint movement test (AOJMT), upper lip bite test, mandibulohyoid distance (MHD), maxillopharyngeal angle, height-to-thyromental distance ratio, and mask ventilation test were independently associated with difficult intubation. CONCLUSION: Despite comparing 22 tests, the results obtained in this study cannot definitively identify any single test that predicts difficult intubation. Nonetheless, our results show that MHD (high sensitivity and negative predictive value) and AOJMT (high specificity and positive predictive value) are the most useful tests to predict difficult intubation.
format Online
Article
Text
id pubmed-10214888
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Kare Publishing
record_format MEDLINE/PubMed
spelling pubmed-102148882023-06-02 Which test best predicts difficult endotracheal intubation? A prospective cohort study Alp, Güray Koşucu, Müge Ulus Travma Acil Cerrahi Derg Original Article BACKGROUND: It is critical to identify patients whose intubation will be difficult to ensure that necessary precautions are taken. In this study, we aimed to show the power of almost all tests used to predict difficult endotracheal intubation (DEI), and to determine which test are more accurate for this purpose. METHODS: This observational study conducted between May 2015 and January 2016 at department of anesthesiology of a tertiary hospital in Turkey (n=501). A total of 25 parameters and 22 tests used for DEI were compared according to groups formed according to the Cormack-Lehane classification (gold standard). RESULTS: The mean age was 49.83±14.00 years, and 259 (51.70%) patients were males. We found difficult intubation frequency to be 7.58%. Mallampati classification, atlanto-occipital joint movement test (AOJMT), upper lip bite test, mandibulohyoid distance (MHD), maxillopharyngeal angle, height-to-thyromental distance ratio, and mask ventilation test were independently associated with difficult intubation. CONCLUSION: Despite comparing 22 tests, the results obtained in this study cannot definitively identify any single test that predicts difficult intubation. Nonetheless, our results show that MHD (high sensitivity and negative predictive value) and AOJMT (high specificity and positive predictive value) are the most useful tests to predict difficult intubation. Kare Publishing 2023-04-03 /pmc/articles/PMC10214888/ /pubmed/36995200 http://dx.doi.org/10.14744/tjtes.2022.34460 Text en Copyright © 2023 Turkish Journal of Trauma and Emergency Surgery https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Original Article
Alp, Güray
Koşucu, Müge
Which test best predicts difficult endotracheal intubation? A prospective cohort study
title Which test best predicts difficult endotracheal intubation? A prospective cohort study
title_full Which test best predicts difficult endotracheal intubation? A prospective cohort study
title_fullStr Which test best predicts difficult endotracheal intubation? A prospective cohort study
title_full_unstemmed Which test best predicts difficult endotracheal intubation? A prospective cohort study
title_short Which test best predicts difficult endotracheal intubation? A prospective cohort study
title_sort which test best predicts difficult endotracheal intubation? a prospective cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10214888/
https://www.ncbi.nlm.nih.gov/pubmed/36995200
http://dx.doi.org/10.14744/tjtes.2022.34460
work_keys_str_mv AT alpguray whichtestbestpredictsdifficultendotrachealintubationaprospectivecohortstudy
AT kosucumuge whichtestbestpredictsdifficultendotrachealintubationaprospectivecohortstudy