观察上唇咬伤测试在预测困难输管治疗时的有效性
Xinyuan Tang1, Zhiyuan Dong1, Jianling Xu1
1Department of Anesthesiology, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Scientific reports
|December 13, 2023
概括
上唇咬伤测试 (ULBT) 不是难以进行气管管道输入的可靠预测. 口腔打开是一个比ULBT更有效的预测器,用于识别 Endotracheal intubation 期间具有挑战性气道的患者.
科学领域:
- 麻醉学 麻醉学
- 航空航道管理的管理.
- 预测诊断 预测诊断是一种预测诊断.
背景情况:
- 上唇咬伤测试 (ULBT) 被认为可以预测困难的呼吸道.
- 关于ULBT在预测难以进行气管管道输入方面的有效性,存在有限的数据.
研究的目的:
- 评估ULBT在预测难以进行内内管道输入方面的临床实用性.
- 将ULBT的预测性能与其他气道评估方法进行比较.
主要方法:
- 一项观察性病例和队列研究,涉及2522名接受选择性手术的成年患者.
- 在手术前进行的气道评估包括ULBT,口腔开口,甲状腺的距离,修改的Mallampati测试和BMI.
- 难以呼吸道输管的发病率是主要结果,使用接收器操作特征 (ROC) 曲线进行分析.
主要成果:
- 64名患者经历了困难的气管管道输入.
- 2级ULBT显示0.75敏感度和0.54特异性; 3级显示0.28敏感度和0.75特异性.
- 与ULBT (0.69) 相比,口腔开口在ROC曲线 (0.84) 下的面积显著更大,用于预测难以输管 (P < 0.05).
结论:
- 在预测难以进行内管道输入方面,ULBT的临床实用性有限.
- 口腔开口比ULBT更有效地预测难以输入气管管道的难度.
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