The predictive value of five factors to the maternal difficulty airway
10.3969/j.issn.1006-5725.2014.16.029
- VernacularTitle:五种评估方法预测产妇困难气道准确性的比较
- Author:
Yu CUI
;
Bin CHENG
;
Jing HUANG
;
Yu WANG
- Publication Type:Journal Article
- Keywords:
The difficulty airway;
Mallampati score;
Thyromental distance;
BMI;
Inter-incisor gap;
Upper lip bite test
- From:
The Journal of Practical Medicine
2014;(16):2617-2619
- CountryChina
- Language:Chinese
-
Abstract:
Objective To research the most commonly used five method to evaluated the difficulty airway , and compare which methods were more suited for the pregnant woman in general anesthesia. Methods 214 patients with full-term pregnancy who requested emergency or elective caesarean-section were assigned. During the pre-anesthetic visit,we evaluated patients from Mallampati score, thyromental distance, body mass index (BMI), inter-incisor gap, and upper lip bite test. After endotracheal intubation ,patients were divided into 2 groups based on Cormack classification. Results Five ways sensitivity descending order were upper lip bite test (79.5%)、Mallampati score (76.9%)、BMI (56.4%)、inter-incisor gap (51.3%)、thyromental distance (35.9%); specificity descending order were upper lip bite test (93.1%)、Mallampati scores (86.3%)、inter-incisor gap (85.1%)、thyromental distance (76.6%)、BMI (62.3%). Conclusions In pregnant women ,Mallampati score and the upper lip bite test are the better indicators to predict difficult airway.