在预测难以可视化喉时的Acromio-Axillo-Suprasternal Notch Index表现:一个观察前性研究
Chhaya M Suryawanshi1, Jayant Bhatia1
1Anaesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Cureus
|September 12, 2024
概括
在Acromio-Axillo-Suprasternal Notch Index (AASI) 有效地预测了在输管过程中难以进行喉可视化 (DVL). 这种床边测试显示出高准确度,有助于麻醉科医生管理具有挑战性的呼吸道.
科学领域:
- 麻醉学 麻醉学
- 航空航道管理的管理.
- 临床预测工具 临床预测工具
背景情况:
- 预测难以输入管道对于患者的安全至关重要.
- 现有的床边查测试在准确性上有局限性.
- 难以喉可视化 (DVL) 在内内管管道输入过程中带来了重大挑战.
研究的目的:
- 评估Acromio-Axillo-Suprasternal Notch Index (AASI) 作为难以进行喉可视化的预测指标.
- 为了比较AASI的预测准确度与其他已建立的气道评估方法.
主要方法:
- 对100名成人患者 (ASA等级I-II) 进行前性观察性研究,这些患者接受了需要输管的选择性手术.
- 手术前的评估包括AASI,修改后的马兰帕蒂测试 (MMT),胸腔距离 (SMD),胸腔距离 (TMD) 和切口间距离 (IID).
- 困难的喉可视化被定义为Cormack-Lehane等级III和IV,由盲目的麻醉科医生在直接喉镜检查期间评估.
主要成果:
- 难以视觉化喉 (DVL) 在21%的患者中发生.
- 在预测DVL方面,AASI表现出高灵敏度 (98.73%) 和特异性 (71.43%).
- AASI (0.851) 的曲线下的面积 (AUC) 优于MMT,SMD,TMD和IID.
结论:
- 阿克罗米奥 - 关 - 关上部痕指数 (AASI) 是一个很好的床边预测器,用于困难的喉可视化 (DVL).
- AASI (≥0.5) 在识别具有挑战性输管风险的患者方面具有显著的临床实用性.
- 这个索引可以指导麻醉医生准备和管理潜在的困难的呼吸道.
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