Comparison of different tests to determine difficult intubation in pediatric patients

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dc.contributor.authorInal, Mehmet Turan
dc.contributor.authorMemis, Dilek
dc.contributor.authorSahin, Sevtap Hekimoglu
dc.contributor.authorGunday, Isil
dc.date.accessioned2024-06-12T10:59:37Z
dc.date.available2024-06-12T10:59:37Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: The difficulties with airway management is the main reason for pediatric anesthesia-related morbidity and mortality. Objective: To assess the value of modified Mallampati test, Upper-Lip-Bite test, thyromental distance and the ratio of height to thyromental distance to predict difficult intubation in pediatric patients. Design: Prospective analysis. Measurements and results: Data were collected from 5 to 11 years old 250 pediatric patients requiring tracheal intubation. The Cormack and Lehane classification was used to evaluate difficult laryngoscopy. Sensitivity, specificity, positive predictive value and AUC values for each test were measured. Results: The sensitivity and specificity of modified Mallampati test were 76.92% and 95.54%, while those for ULBT were 69.23% and 97.32%. The optimal cutoff point for the ratio of height to thyromental distance and thyromental distance for predicting difficult laryngoscopy was 23.5 (sensitivity, 57.69%; specificity, 86.61%) and 5.5 cm (sensitivity, 61.54%; specificity, 99.11%). The modified Mallampati was the most sensitive of the tests. The ratio of height to thyromental distance was the least sensitive test. Conclusion: These results suggested that the modified Mallampati and Upper-Lip-Bite tests may be useful in pediatric patients for predicting difficult intubation. (C) 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.en_US
dc.identifier.doi10.1016/j.bjan.2014.02.001
dc.identifier.endpage394en_US
dc.identifier.issn0034-7094
dc.identifier.issn1806-907X
dc.identifier.issue6en_US
dc.identifier.pmid25437694en_US
dc.identifier.scopus2-s2.0-85027957523en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage391en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjan.2014.02.001
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20496
dc.identifier.volume64en_US
dc.identifier.wosWOS:000345357700003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isopten_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofRevista Brasileira De Anestesiologiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDifficult Intubationen_US
dc.subjectPediatricsen_US
dc.subjectPredictive Testsen_US
dc.subjectLip Bite Testen_US
dc.subjectMallampati Classificationen_US
dc.subjectTracheal Intubationen_US
dc.subjectAnesthesiaen_US
dc.subjectLaryngoscopyen_US
dc.subjectChildrenen_US
dc.subjectClaimsen_US
dc.titleComparison of different tests to determine difficult intubation in pediatric patientsen_US
dc.typeArticleen_US

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