术前超声波气道评估和临床查测试的有效性和有效性,以预测困难的喉腔镜检查:一项前性观察性研究
Mamta Harjai1, Sharif Alam1, Shivani Rastogi1
1Anesthesia and Critical Care Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, IND.
Cureus
|August 16, 2023
概括
在输管过程中预测困难的气道至关重要. 马兰帕蒂分级和超声波测量,如皮肤到状腺的距离,可以有效预测具有挑战性的喉腔镜,提高患者的安全性.
科学领域:
- 麻醉学 麻醉学
- 紧急医疗 紧急医疗
- 医疗成像医学成像
背景情况:
- 具有挑战性的气道管理是紧急护理中的一个重要问题.
- 在紧急情况下,可能很难进行输入前临床查测试.
- 超声波显示为一种有希望的气道评估工具,但缺乏预测困难气道的具体测量方法.
研究的目的:
- 调查手术前超声波气道评估参数与科尔马克-莱汉 (CL) 分级之间的相关性.
- 为了确定可靠的超声波预测器,难以在内内管管道输入过程中进行喉腔镜检查.
主要方法:
- 一项观察性研究涉及150名接受全身麻醉的选择性手术患者.
- 在手术前进行了临床和超声波气道评估.
- 在喉腔镜检查期间评估与科尔马克-莱汉 (CL) 等级的相关性.
主要成果:
- 难以输管的发生率为13.3%.
- 马兰帕蒂分级 (MPG) 在临床预测指标中 (敏感度为86.7%) 显示了曲线下的最大面积 (AUC).
- 在超声波参数中,皮肤到状腺的距离显示了最高的ROC;皮肤到甲状腺峡系对预测困难的喉腔镜检查具有最高的灵敏度.
结论:
- 马拉拉帕蒂分级 (MPG) 是一个有利的临床预测器的困难的喉腔镜检查.
- 超声波参数,特别是皮肤到状腺的距离和皮肤到甲状腺的静脉,是难以进行喉腔镜检查的有价值的预测指标.
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