Sensitivity of the Combination of Mallampati Scores with Anthropometric Measurements and the Presence of Malignancy to Predict Difficult Intubation

Kandemir, Tünay; Şavlı, Serpil; Ünver, Süheyla; Kandemir, Erbin

doi:10.5152/tjar.2014.24993

Cited by 11 publications

(10 citation statements)

References 15 publications

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“…In another study conducted with adult patients, the combination of MMT and TMD was found to be effective in predicting the incidence of difficult intubation. [21] Similar to our study, Inal et al [10] demonstrated that both MMT and ULBT may be useful in pediatric patients aged 5 to 11…”

Section: Discussionsupporting

confidence: 89%

Comparison of different predictive tests for difficult airways in pediatrics

et al. 2020

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Section: Discussionsupporting

confidence: 89%

Comparison of different predictive tests for difficult airways in pediatrics

et al. 2020

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“…Kandemir et al (20) reported that the probability of difficult intubation increases as the measurement of the head circumference increases in adult cases. But there is no study on the correlation between head circumference and difficult laryngoscopy in pediatric cases.…”

Section: Discussionmentioning

confidence: 99%

Value of Anthropometric Measurements in Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study

Aydin¹,

Güntürk²,

Çakmak³

et al. 2020

BUCH

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Objective: Ensuring airway security carries the utmost importance in anesthesia. Specific predictive tests or findings for difficult airway are not defined for children under 3 years old. This study is aimed at finding out the value of anthropometric measurements in the prediction of difficult laryngoscopy and intubation in children by comparing them to direct laryngoscopic evaluation of Cormack-Lehane test and intubation evaluation of Intubation Difficulty Scale." Method: A total of 108 patients (aged 0-3 years), undergoing elective surgery were included in this study. Patients with known syndrome, facial anomaly, Anesthesiologists Physical Status Classification Class >2, and laryngeal mask airway were excluded from the study. Demographic data, head circumference, weight, height measurements, body mass index and percentile values were recorded by a pediatric surgeon in the preoperative period. During laryngoscopy and intubation evaluations were made using Cormack-Lehane Score and Intubation Difficulty Scale and recorded by a blinded resient. All recorded parameters were compared with Cormack-Lehane and Intubation Difficulty Scale scores. Results: When all parameters were compared with CL Grade I-II-III, IDS scores; a statistically significant difference was found between age and head circumference and CL Grade I, II (p<0.05, p<0.05). When all parameters were compared in terms of difficult and easy direct laryngoscopy, relations between difficult direct laryngoscopy and male gender and low weight percentile were observed (p<0.05). Difficult intubation was not found according to Intubation Difficulty Scale. Conclusion: Anthropometric measurements are not predictive for difficult direct laryngoscopy and difficult intubation in pediatric patients. The potentiality of difficult direct laryngoscopy could be higher in boys than girls and in children with low weight percentile.

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“…Analysis of explored indicators of difficult laryngoscopy (multiple logistic regression) Analysis showed a 49.06% sensitivity and 89.07% specificity with a PPV of 28.3 and NPV of 95.2[31].Kandemir et al found an NC cut-off of 40.75 cm; in a composite score plus MPS the sensitivity was 43.75%, specificity 66.67%, PPV: 50.00% and NPV: 60.87%; the authors state that the patients in their study were within obesity limits but unfortunately the BMI is not reported[32]. In the oldest one Honarmand et al found that an NC cut-off of 41 cm, as a single variable, had a sensitivity 26.14%, specificity 98.24%, PPV 71.9, NPV 88.6%; unfortunately in this latest study the authors did not report the BMI, but only a median weight of 68 kg (±11)[34].…”

mentioning

confidence: 84%

A new simple score for prediction of difficult laryngoscopy: the EL.GA+ score

Corrente¹,

Fiore²,

Colandrea³

et al. 2020

ait

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Preoperative airway assessment plays a key role in the context of difficult airway management. There is no general agreement that clarifies unambiguously and precisely how to conduct this assessment, and above all, which anatomical and physio logical parameters must be taken into account for its correct execution. The American Society of Anesthesiologists (ASA) recommended conducting the preoperative assessment of the airways based on 11 anatomical variables, without hierarchising the various variables for effectiveness. The ASA states that the decision to evaluate only some or all the variables depends on the clinical context. Ultimately, the assessment remains at the discretion of the individual operator [1, 2]. Furthermore, in the literature there is no single parameter that is sufficiently valid

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Sensitivity of the Combination of Mallampati Scores with Anthropometric Measurements and the Presence of Malignancy to Predict Difficult Intubation

Cited by 11 publications

References 15 publications

Comparison of different predictive tests for difficult airways in pediatrics

Comparison of different predictive tests for difficult airways in pediatrics

Value of Anthropometric Measurements in Predicting Difficult Laryngoscopy in Children: A Prospective, Observational Study

A new simple score for prediction of difficult laryngoscopy: the EL.GA+ score

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