Application of the upper lip catch test for airway evaluation in edentulous patients: An observational study
Identifieur interne : 000467 ( Pmc/Checkpoint ); précédent : 000466; suivant : 000468Application of the upper lip catch test for airway evaluation in edentulous patients: An observational study
Auteurs : Zahid Hussain Khan ; Shahriar Arbabi ; Mir Saeed Yekaninejad ; Ramooz Hussain KhanSource :
- Saudi Journal of Anaesthesia [ 1658-354X ] ; 2014.
Abstract
Application of upper lip catch test (ULCT) for airway evaluation in edentulous patients.
This research is an evaluation of a clinical diagnostic test in edentulous patients prior to operation. Five hundred eighty eight edentulous patients in a referral university hospital, between March 2008 and June 2011 scheduled for elective surgery under general anesthesia were enrolled. Those unable to open the mouth and those with pharyngo-laryngeal pathology were excluded. ULCT was assessed and compared with Cormack-Lehane grading as a gold standard for airway evaluation.
A high negative predictive value of 99.4% was a notable finding for the ULCT. The results also showed a high specificity (89.4%), high sensitivity (75.0%) and a high accuracy (89.3%) in a comparatively higher range for the ULCT.
The ULCT proved to be a useful predictor for airway assessment in edentulous patients in this setting. Further studies are needed to reconfirm its validity in other ethnic groups.
Url:
DOI: 10.4103/1658-354X.125942
PubMed: 24665244
PubMed Central: 3950458
Affiliations:
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<author><name sortKey="Khan, Zahid Hussain" sort="Khan, Zahid Hussain" uniqKey="Khan Z" first="Zahid Hussain" last="Khan">Zahid Hussain Khan</name>
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<author><name sortKey="Yekaninejad, Mir Saeed" sort="Yekaninejad, Mir Saeed" uniqKey="Yekaninejad M" first="Mir Saeed" last="Yekaninejad">Mir Saeed Yekaninejad</name>
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<author><name sortKey="Khan, Ramooz Hussain" sort="Khan, Ramooz Hussain" uniqKey="Khan R" first="Ramooz Hussain" last="Khan">Ramooz Hussain Khan</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Application of the upper lip catch test for airway evaluation in edentulous patients: An observational study</title>
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<author><name sortKey="Yekaninejad, Mir Saeed" sort="Yekaninejad, Mir Saeed" uniqKey="Yekaninejad M" first="Mir Saeed" last="Yekaninejad">Mir Saeed Yekaninejad</name>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title>
<p>Application of upper lip catch test (ULCT) for airway evaluation in edentulous patients.</p>
</sec>
<sec id="st2"><title>Methods:</title>
<p>This research is an evaluation of a clinical diagnostic test in edentulous patients prior to operation. Five hundred eighty eight edentulous patients in a referral university hospital, between March 2008 and June 2011 scheduled for elective surgery under general anesthesia were enrolled. Those unable to open the mouth and those with pharyngo-laryngeal pathology were excluded. ULCT was assessed and compared with Cormack-Lehane grading as a gold standard for airway evaluation.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>A high negative predictive value of 99.4% was a notable finding for the ULCT. The results also showed a high specificity (89.4%), high sensitivity (75.0%) and a high accuracy (89.3%) in a comparatively higher range for the ULCT.</p>
</sec>
<sec id="st4"><title>Conclusion:</title>
<p>The ULCT proved to be a useful predictor for airway assessment in edentulous patients in this setting. Further studies are needed to reconfirm its validity in other ethnic groups.</p>
</sec>
</div>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Saudi J Anaesth</journal-id>
<journal-id journal-id-type="iso-abbrev">Saudi J Anaesth</journal-id>
<journal-id journal-id-type="publisher-id">SJA</journal-id>
<journal-title-group><journal-title>Saudi Journal of Anaesthesia</journal-title>
</journal-title-group>
<issn pub-type="ppub">1658-354X</issn>
<issn pub-type="epub">0975-3125</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24665244</article-id>
<article-id pub-id-type="pmc">3950458</article-id>
<article-id pub-id-type="publisher-id">SJA-8-73</article-id>
<article-id pub-id-type="doi">10.4103/1658-354X.125942</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Application of the upper lip catch test for airway evaluation in edentulous patients: An observational study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Khan</surname>
<given-names>Zahid Hussain</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Arbabi</surname>
<given-names>Shahriar</given-names>
</name>
<xref ref-type="aff" rid="aff2">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yekaninejad</surname>
<given-names>Mir Saeed</given-names>
</name>
<xref ref-type="aff" rid="aff3">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Khan</surname>
<given-names>Ramooz Hussain</given-names>
</name>
<xref ref-type="aff" rid="aff4">3</xref>
</contrib>
</contrib-group>
<aff id="aff1"><italic>Department of Anesthesiology and Intensive Care, Imam Khomeini Medical Center, Tehran, Iran</italic>
</aff>
<aff id="aff2"><label>1</label>
<italic>Department of Anesthesiology, Farabi Eye Hospital, Tehran, Iran</italic>
</aff>
<aff id="aff3"><label>2</label>
<italic>Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran</italic>
</aff>
<aff id="aff4"><label>3</label>
<italic>Department of Dentistry, Azad Medical University, Tehran, Iran</italic>
</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Zahid Hussain Khan, Department of Anesthesiology and Intensive Care, Imam Khomeini Medical Center, Keshavarz Boulevard, Tehran University of Medical Sciences, Tehran 1419733141, Iran. E-mail: <email xlink:href="khanzh51@yahoo.com">khanzh51@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Jan-Mar</season>
<year>2014</year>
</pub-date>
<volume>8</volume>
<issue>1</issue>
<fpage>73</fpage>
<lpage>77</lpage>
<permissions><copyright-statement>Copyright: © Saudi Journal of Anaesthesia</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec id="st1"><title>Background:</title>
<p>Application of upper lip catch test (ULCT) for airway evaluation in edentulous patients.</p>
</sec>
<sec id="st2"><title>Methods:</title>
<p>This research is an evaluation of a clinical diagnostic test in edentulous patients prior to operation. Five hundred eighty eight edentulous patients in a referral university hospital, between March 2008 and June 2011 scheduled for elective surgery under general anesthesia were enrolled. Those unable to open the mouth and those with pharyngo-laryngeal pathology were excluded. ULCT was assessed and compared with Cormack-Lehane grading as a gold standard for airway evaluation.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>A high negative predictive value of 99.4% was a notable finding for the ULCT. The results also showed a high specificity (89.4%), high sensitivity (75.0%) and a high accuracy (89.3%) in a comparatively higher range for the ULCT.</p>
</sec>
<sec id="st4"><title>Conclusion:</title>
<p>The ULCT proved to be a useful predictor for airway assessment in edentulous patients in this setting. Further studies are needed to reconfirm its validity in other ethnic groups.</p>
</sec>
</abstract>
<kwd-group><kwd><italic>Airway</italic>
</kwd>
<kwd><italic>Cormack-Lehane grade</italic>
</kwd>
<kwd><italic>difficult intubation</italic>
</kwd>
<kwd><italic>modified Mallampati test</italic>
</kwd>
<kwd><italic>upper lip catch test</italic>
</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Arbabi, Shahriar" sort="Arbabi, Shahriar" uniqKey="Arbabi S" first="Shahriar" last="Arbabi">Shahriar Arbabi</name>
<name sortKey="Khan, Ramooz Hussain" sort="Khan, Ramooz Hussain" uniqKey="Khan R" first="Ramooz Hussain" last="Khan">Ramooz Hussain Khan</name>
<name sortKey="Khan, Zahid Hussain" sort="Khan, Zahid Hussain" uniqKey="Khan Z" first="Zahid Hussain" last="Khan">Zahid Hussain Khan</name>
<name sortKey="Yekaninejad, Mir Saeed" sort="Yekaninejad, Mir Saeed" uniqKey="Yekaninejad M" first="Mir Saeed" last="Yekaninejad">Mir Saeed Yekaninejad</name>
</noCountry>
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</record>
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