2024, Number 8
Prediction of difficult airway by clinical versus ultrasonographic scales
Reyes MHA, Montelongo FJ, Tapia VR, Galindo AJ, Herrera MBE, Nava LJA, Mendoza HME
Language: Spanish
References: 9
Page: 659-663
PDF size: 322.30 Kb.
ABSTRACT
This prospective study evaluates the diagnostic accuracy of clinical versus ultrasonographic tests for predicting difficult airway in 63 patients scheduled for general surgery. Through scales or conventional tests such as Mallampati which is gold standard and ultrasonographic measurements such as hiomental measurement in neutral position, skin to hyoid bone measurement, skin to epiglottis and skin to vocal cords and determine the sensitivity and specificity of each scale. The results indicate that ultrasonographic tests have high specificity (92%) but low sensitivity (20.15%) compared to clinical tests, suggesting that, although the effectiveness of these tests is low for predicting difficult airway alone, they should complement traditional evaluations rather than replace them. Concluding that the combination of both methods could improve the ability to predict difficult airway in clinical practice.REFERENCES
Cruz M, Guerrero-Ledesma R. Utilidad diagnóstica de la razón de distancia hiomental como predictor de intubación difícil en UMAE 25, departamento de anestesiología y Unidad Médica de Especialidad, Hospital de Especialidades número 25, Centro Médico Nacional Noreste Instituto Mexicano del Seguro Social Monterrey Nuevo León México. Gac Med Mex. 2015;151(5):599.