在难以预测的喉腔镜中超声波气道参数的准确性:来自印度中部的前性观察队列研究
S K Parameshwar1, Sunaina Tejpal Karna1, Vaishali Waindeskar1
1Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, India.
Turkish journal of anaesthesiology and reanimation
|October 25, 2023
概括
呼吸道超声波 (USG) 通过逐步方法有效预测困难的喉腔镜 (DL). 一个开发的评分系统证明了DL预测的高准确性,特异性和负预测值.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
- 诊断的准确性 诊断的准确性
背景情况:
- 困难的喉腔镜 (DL) 在气道管理中带来了挑战.
- 目前用于预测DL的方法缺乏明确的参数.
- 气道超声波 (USG) 显示出有希望的结果,但需要标准化的协议.
研究的目的:
- 评估一个逐步的气道-USG方法的诊断准确性,以预测困难的喉腔镜 (DL).
- 为DL预测建立清晰的超声波参数.
- 为DL开发一个简单的,逐步的超声波评估工具.
主要方法:
- 对217名接受全身麻醉的成年患者进行前性观察队列研究.
- 标准化的斜腰气道-USG在三个步骤中进行.
- 人口,临床和美图学参数与Cormack-Lehane得分的相关性.
主要成果:
- 确定了用于DL预测的显著的USG参数:皮肤至表皮的距离,肌的距离 (头部延伸和中性),它们的比例,舌头厚度和皮肤至舌头的距离.
- 使用>3个积极参数的DLP得分,实现了98%的特异性和96%的诊断准确性.
- 在19/217名患者中发生了困难的喉腔镜检查.
结论:
- 一个逐步的气道-USG方法为预测困难的喉腔镜提供了重要的参数.
- 开发的DLP得分显示了高的诊断准确性和可靠性.
- 气道USG可以作为DL的有价值的查和诊断工具.
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