使用临床和超声波参数进行气道评估的新得分
Nekari De Luis-Cabezón1,2, Diana Ly-Liu1, Pablo Renedo-Corcostegui1
1Department of Anesthesiology, Osakidetza Basque Health Service, Basurto University Hospital, Bilbao, Spain.
Frontiers in medicine
|February 29, 2024
概括
超声波可以帮助预测困难的喉腔镜,当与临床测试相结合时. 这种成像技术具有很高的负预测价值,识别不太可能遇到呼吸道困难的患者.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
- 紧急医疗 紧急医疗
背景情况:
- 临床气道评估缺乏对困难的输入管道进行重大预测能力.
- 超声波正在成为一种有价值的床边检查工具.
- 系统性审查显示了超声波和困难的直接喉腔镜之间的相关性.
研究的目的:
- 为了确定上呼吸道超声波能否准确地预测困难的直接喉腔镜.
- 为了评估超声波测量的诊断精度,用于困难的喉腔镜检查.
主要方法:
- 对102名接受选择性手术的成年患者进行前性观察性研究.
- 进行了手术前临床评估 (Mallampati-Samsoon级,ULBT,TMD,SMD,CC,Arné风险指数).
- 超声波评估测量了两个平面中的五个水平,记录了从皮肤到关键气道结构的距离.
主要成果:
- 开发了一个风险评分,将从皮肤到甲状腺膜 (DSTHM) 的距离,从皮肤到甲状腺软骨 (DSTC) 的距离和性别结合起来.
- 该得分显示曲线下的面积 (AUC) 为0.84,用于预测困难的喉腔镜 (DL).
- 5分以上的得分显著增加了DL风险 (34倍),具有高灵敏度 (91.67%) 和负预测值 (98.55%).
结论:
- 超声波是预测困难的直接喉腔镜的有用工具.
- 将超声波与传统的临床查测试相结合,可以提高气道评估的准确性.
- 这种方法有助于预测和管理输管过程中潜在的气道挑战.
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