Picrin DJD, Picrin DD, Picrin MJ, Correoso BMS, Días TE

Language: Spanish
References: 15
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ABSTRACT

Introduction: for the management of the airway in obstetric patient informed in an emergency, it is necessary to evaluate and identify the degree of complexity presented in them.
Objective: to validate the usefulness of a morphometric diagnostic method as a predictive methodological proposal for determining the degree of complexity of orotracheal intubation.
Methods: an analytical, observational study was performed in pregnant women informed with acute fetal distress, in Guantanamo, and who were proposed for general ortotracheal anesthesia. Out of a target group of 304 pregnant women, by a probabilistic determination, a sample of 152 pregnant women was taken given the necessity to increase predictive safety before orotracheal intubation in these patients. Antecedents were reviewed as referring to different predictive methods in written literature, among which Benomuf and El Ganzouri were outstanding authors. The morphometric diagnostic method was proposed to be correlated with the method of Cormack-Lehane.
Results: 100% of diagnostic sensibility and specificity was observed, together with positive and negative predictive values at 100% respectively.
Conclusions: the predictive value of morphometric diagnostic method is shown, with high predictive accuracy for orotracheal intubation in pregnant women with acute fetal distress. On including the clinical history of the usual snorer in indistinct positions to the overall evaluation of the different predictive clinical tests, reason why predictive confidence of the limitation degree is increased to the maximum.

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