用超声波测量皮肤-表皮质距离,用于预测困难的喉腔镜:一项观察性研究
Luis Henrique Cangiani1, Rodrigo Leal Alves2, Glenio B Mizubuti3
1Clínica Campinense de Anestesiologia, Fundação Centro Médico Campinas, Campinas, SP, Brazil.
Brazilian journal of anesthesiology (Elsevier)
|May 10, 2025
概括
通过超声波测量皮肤-表皮质距离 (CED) 有效地预测困难的喉腔镜. 较高的CED和BMI独立地与增加难以输管的几率有关,有助于气道评估.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
- 航空航道管理的管理.
背景情况:
- 超声波 (US) 允许在床边进行快速的呼吸道评估.
- 预测困难的喉腔镜对于患者的安全至关重要.
- 现有的气道评估方法存在局限性.
研究的目的:
- 为了评估美国测量的皮肤-表皮节距离 (CED) 在预测困难的喉腔镜 (Cormack-Lehane等级34).
- 评估CED,性别和体重指数 (BMI) 之间的关联.
- 确定CED和增加难以进行喉腔镜检查的几率之间的独立关联.
主要方法:
- 对成人患者进行选择性手术和全身麻醉的前性研究.
- 排除BMI>35kg/m2或先前有困难输管病史的患者.
- 在气管输管之前对麻醉患者的CED测量.
- 使用接收器运营商特征 (ROC) 曲线和后勤回归进行分析.
主要成果:
- 对ROC曲线的分析显示,曲线下的面积为0.899,表明具有高的区分能力.
- 25.6毫米的CED切线被认为是预测困难喉腔镜术的最佳标准.
- 无论是CED还是BMI,都独立地与难以进行喉腔镜检查的几率增加有关 (OR对于CED=1.81,BMI=1.30).
结论:
- 美国测量的CED是预测Cormack-Lehane等级在直接喉腔镜检查中的一个有价值的工具.
- 对于较低的 (12) 和较高的 (34) 等级,CED表现出高度的区分能力.
- CED与BMI正相关,并独立预测难以进行喉腔镜检查.
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