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2024, Number 8

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Med Crit 2024; 38 (8)

Prediction of difficult airway by clinical versus ultrasonographic scales

Reyes MHA, Montelongo FJ, Tapia VR, Galindo AJ, Herrera MBE, Nava LJA, Mendoza HME
Full text How to cite this article 10.35366/120012

DOI

DOI: 10.35366/120012
URL: https://dx.doi.org/10.35366/120012

Language: Spanish
References: 9
Page: 659-663
PDF size: 322.30 Kb.


Key words:

difficult airway, Mallampati, ultrasonography.

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

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Med Crit. 2024;38