Sensitivity of Palm Print, Modified Mallampati Score and 3-3-2 Rule in Prediction of Difficult Intubation
Identifieur interne : 004A51 ( Ncbi/Checkpoint ); précédent : 004A50; suivant : 004A52Sensitivity of Palm Print, Modified Mallampati Score and 3-3-2 Rule in Prediction of Difficult Intubation
Auteurs : Ata Mahmoodpoor [Iran] ; Hassan Soleimanpour [Iran] ; Kavous Shahsavari Nia [Iran] ; Jafar Rahimi Panahi [Iran] ; Mohammadreza Afhami [Iran] ; Samad Ej Golzari [Iran] ; Karim Majani [Iran]Source :
- International Journal of Preventive Medicine [ 2008-7802 ] ; 2013.
Abstract
This study evaluated the performance of modified Mallampati score, 3-3-2 rule and palm print in prediction of difficult intubation.
In a prospective descriptive study, data from 500 patients scheduled for elective surgery under general anesthesia were collected. An anesthesiologist evaluated the airway using mentioned tests and another anesthesiologist evaluated difficult intubation. Laryngoscopic views were determined by Cormack and Lehane score. Grades 3 and 4 were defined as difficult intubation. Sensitivity, specificity, positive predictive value, negative predictive value and Youden index were determined for all tests.
Difficult intubation was reported in 8.9% of the patients. There was a significant correlation between body mass index and difficult intubation (
Palm print has a high specificity for prediction of difficult intubation, but the best way for prediction of difficult intubation is using all three tests together.
Url:
PubMed: 24130949
PubMed Central: 3793489
Affiliations:
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level="a" type="main">Sensitivity of Palm Print, Modified Mallampati Score and 3-3-2 Rule in Prediction of Difficult Intubation</title><author><name sortKey="Mahmoodpoor, Ata" sort="Mahmoodpoor, Ata" uniqKey="Mahmoodpoor A" first="Ata" last="Mahmoodpoor">Ata Mahmoodpoor</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz</wicri:regionArea><wicri:noRegion>Tabriz</wicri:noRegion></affiliation></author><author><name sortKey="Soleimanpour, Hassan" sort="Soleimanpour, Hassan" uniqKey="Soleimanpour H" first="Hassan" last="Soleimanpour">Hassan Soleimanpour</name><affiliation wicri:level="1"><nlm:aff id="aff2">Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz</wicri:regionArea><wicri:noRegion>Tabriz</wicri:noRegion></affiliation></author><author><name sortKey="Nia, Kavous Shahsavari" sort="Nia, Kavous Shahsavari" uniqKey="Nia K" first="Kavous Shahsavari" last="Nia">Kavous Shahsavari Nia</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz</wicri:regionArea><wicri:noRegion>Tabriz</wicri:noRegion></affiliation></author><author><name sortKey="Panahi, Jafar Rahimi" sort="Panahi, Jafar Rahimi" uniqKey="Panahi J" first="Jafar Rahimi" last="Panahi">Jafar Rahimi Panahi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz</wicri:regionArea><wicri:noRegion>Tabriz</wicri:noRegion></affiliation></author><author><name sortKey="Afhami, Mohammadreza" sort="Afhami, Mohammadreza" uniqKey="Afhami M" first="Mohammadreza" last="Afhami">Mohammadreza Afhami</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz</wicri:regionArea><wicri:noRegion>Tabriz</wicri:noRegion></affiliation></author><author><name sortKey="Golzari, Samad Ej" sort="Golzari, Samad Ej" uniqKey="Golzari S" first="Samad Ej" last="Golzari">Samad Ej Golzari</name><affiliation wicri:level="1"><nlm:aff id="aff4">Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz</wicri:regionArea><wicri:noRegion>Tabriz</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5">Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz</wicri:regionArea><wicri:noRegion>Tabriz</wicri:noRegion></affiliation></author><author><name sortKey="Majani, Karim" sort="Majani, Karim" uniqKey="Majani K" first="Karim" last="Majani">Karim Majani</name><affiliation wicri:level="1"><nlm:aff id="aff6">HRC, Baghiatallah University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>HRC, Baghiatallah University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Preventive Medicine</title><idno type="ISSN">2008-7802</idno><idno type="eISSN">2008-8213</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>This study evaluated the performance of modified Mallampati score, 3-3-2 rule and palm print in prediction of difficult intubation.</p></sec><sec id="st2"><title>Methods:</title><p>In a prospective descriptive study, data from 500 patients scheduled for elective surgery under general anesthesia were collected. An anesthesiologist evaluated the airway using mentioned tests and another anesthesiologist evaluated difficult intubation. Laryngoscopic views were determined by Cormack and Lehane score. Grades 3 and 4 were defined as difficult intubation. Sensitivity, specificity, positive predictive value, negative predictive value and Youden index were determined for all tests.</p></sec><sec id="st3"><title>Results:</title><p>Difficult intubation was reported in 8.9% of the patients. There was a significant correlation between body mass index and difficult intubation (<italic>P</italic> : 0.004); however, other demographic characteristics didn’t have a significant correlation with difficult intubation. Among three tests, palm print was of highest specificity (96.46%) and modified Mallampati of highest sensitivity (98.40%). In a combination of the tests, the highest specificity, sensitivity and Youden index were observed when using all three tests together.</p></sec><sec id="st4"><title>Conclusions:</title><p>Palm print has a high specificity for prediction of difficult intubation, but the best way for prediction of difficult intubation is using all three tests together.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bindra, T" uniqKey="Bindra T">T Bindra</name></author><author><name sortKey="Nihalani, Sk" uniqKey="Nihalani S">SK Nihalani</name></author><author><name sortKey="Bhadoria, P" uniqKey="Bhadoria P">P Bhadoria</name></author><author><name sortKey="Wadhawan, S" uniqKey="Wadhawan S">S Wadhawan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Karabiyik, L" uniqKey="Karabiyik L">L Karabiyik</name></author><author><name sortKey="Altinay, E" uniqKey="Altinay E">E Altinay</name></author><author><name 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George</name></author><author><name sortKey="Jacob, R" uniqKey="Jacob R">R Jacob</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ezri, T" uniqKey="Ezri T">T Ezri</name></author><author><name sortKey="Warters, Rd" uniqKey="Warters R">RD Warters</name></author><author><name sortKey="Szmuk, P" uniqKey="Szmuk P">P Szmuk</name></author><author><name sortKey="Saad Eddin, H" uniqKey="Saad Eddin H">H Saad-Eddin</name></author><author><name sortKey="Geva, D" uniqKey="Geva D">D Geva</name></author><author><name sortKey="Katz, J" uniqKey="Katz J">J Katz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nadal, Jl" uniqKey="Nadal J">JL Nadal</name></author><author><name sortKey="Fernandez, Bg" uniqKey="Fernandez B">BG Fernandez</name></author><author><name sortKey="Escobar, Ic" uniqKey="Escobar I">IC Escobar</name></author><author><name sortKey="Black, M" uniqKey="Black M">M Black</name></author><author><name sortKey="Rosenblatt, Wh" uniqKey="Rosenblatt W">WH Rosenblatt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khan, Zh" uniqKey="Khan Z">ZH Khan</name></author><author><name sortKey="Kashfi, A" uniqKey="Kashfi A">A Kashfi</name></author><author><name sortKey="Ebrahimkhani, E" uniqKey="Ebrahimkhani E">E Ebrahimkhani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shiga, T" uniqKey="Shiga T">T Shiga</name></author><author><name sortKey="Wajima, Z" uniqKey="Wajima Z">Z Wajima</name></author><author><name sortKey="Inoue, T" uniqKey="Inoue T">T Inoue</name></author><author><name sortKey="Sakamoto, A" uniqKey="Sakamoto A">A Sakamoto</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Iran</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Mahmoodpoor, Ata" sort="Mahmoodpoor, Ata" uniqKey="Mahmoodpoor A" first="Ata" last="Mahmoodpoor">Ata Mahmoodpoor</name></noRegion><name sortKey="Afhami, Mohammadreza" sort="Afhami, Mohammadreza" uniqKey="Afhami M" first="Mohammadreza" last="Afhami">Mohammadreza Afhami</name><name sortKey="Golzari, Samad Ej" sort="Golzari, Samad Ej" uniqKey="Golzari S" first="Samad Ej" last="Golzari">Samad Ej Golzari</name><name sortKey="Golzari, Samad Ej" sort="Golzari, Samad Ej" uniqKey="Golzari S" first="Samad Ej" last="Golzari">Samad Ej Golzari</name><name sortKey="Majani, Karim" sort="Majani, Karim" uniqKey="Majani K" first="Karim" last="Majani">Karim Majani</name><name sortKey="Nia, Kavous Shahsavari" sort="Nia, Kavous Shahsavari" uniqKey="Nia K" first="Kavous Shahsavari" last="Nia">Kavous Shahsavari Nia</name><name sortKey="Panahi, Jafar Rahimi" sort="Panahi, Jafar Rahimi" uniqKey="Panahi J" first="Jafar Rahimi" last="Panahi">Jafar Rahimi Panahi</name><name sortKey="Soleimanpour, Hassan" sort="Soleimanpour, Hassan" uniqKey="Soleimanpour H" first="Hassan" last="Soleimanpour">Hassan Soleimanpour</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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