Evaluation of upper airway ultrasonographic measurements in predicting difficult intubation: A cross-section of the Turkish population.

IF 1.7 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Open Medicine Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI:10.1515/med-2024-1013
Tugba Nur Sayir, Bilge Tuncer, Ezgi Erkilic
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引用次数: 0

Abstract

Objectives: Studies have shown that there are differences in clinical evaluation parameters and difficult intubation rates among different ethnic populations. In our study, we aimed to evaluate the efficacy of upper airway clinical and ultrasonographic measurement methods in Turkish population.

Methods: Our study is a single-center, prospective, observational study conducted with 402 patients. All patients underwent clinical airway measurements which are routinely used in pre-anesthetic evaluation. In addition, ultrasonographic anterior neck soft tissue thickness measurements of each patient were made and recorded.

Results: Among the clinical measurements, we found the neck circumference/thyromental distance (TMD) ratio to be significant with a cut-off value of 5.5 and a sensitivity of 92.9% and a specificity of 88.3%, while among the ultrasonographic anterior neck measurements, we found the skin-epiglottic distance to be the most sensitive measurement. We found that there was a positive relationship between the neck circumference/TMD ratio and skin-epiglottis.

Conclusions: In our study, we found that routine measurement methods used in airway examination alone are not sufficient, and measurements that take into account the body proportions of the patients, such as the neck circumference/TMD ratio and the ultrasonographic evaluations are more useful in predicting difficult intubation.

评估上气道超声波测量在预测困难插管方面的作用:土耳其人口的横断面
目的:研究表明,不同种族人群的临床评估参数和困难插管率存在差异。在我们的研究中,我们旨在评估上气道临床和超声波测量方法在土耳其人群中的有效性:我们的研究是一项单中心、前瞻性、观察性研究,共有 402 名患者参加。所有患者都接受了麻醉前评估中常规使用的临床气道测量。此外,我们还对每位患者的颈前软组织厚度进行了超声波测量并做了记录:在临床测量中,我们发现颈围/耳廓距离(TMD)比值具有重要意义,临界值为 5.5,敏感性为 92.9%,特异性为 88.3%;而在颈前软组织超声波测量中,我们发现皮肤-声门距离是最敏感的测量值。我们发现,颈围/TMD 比值与皮肤-会厌之间存在正相关关系:我们在研究中发现,仅在气道检查中使用常规测量方法是不够的,考虑到患者身体比例的测量方法,如颈围/TMD 比值和超声波评估,在预测困难插管方面更有用。
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来源期刊
Open Medicine
Open Medicine Medicine-General Medicine
CiteScore
3.00
自引率
0.00%
发文量
153
审稿时长
20 weeks
期刊介绍: Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.
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