What can anthropometric measurements tell us about mallampati classification?

Giriş: Mallampati skoru entübasyon ile ilgili olası sorunları tahmin etmek için en yaygın kullanılan yöntemidir. Bu çalışmanın amacı, modifiye Mallampati skoru (MMS) ile yüz antropometrik ölçümler arasındaki ilişkiyi araştırmaktır. Metod: Çalışma 153 erkek ve 170 kadın gönüllü ile (ortalama yaş, 48,9 ± 16,9 ve 44,1 ± 15,4 yıl, sırasıyla) yapıldı. Tüm katılımcılar pre-operatif ziyareti sırasında Mallampati skoru değerlendirmesi ve yüz antropometrik ölçümleri yapıldı. Antropometrik ölçümler arasında kesici dişler arası mesafe, alt yüz yüksekliği, tirogonial uzunluk, tiromental mesafe ve bigonial mesafe vardı. MMS ile antropometrik ölçümler arasındaki ilişki istatistiksel analizi ile araştırıldı. Sonuç: Bigonial mesafe MMS ile pozitif korelasyon olduğu gözlendi kesici dişler arası mesafe, alt yüz yüksekliği ve tiromental mesafe negatif korelasyon göstermekteydi (r = 0.857 p

Antropometrik ölçümler mallampati sınıflaması hakkında ne söyleyebilir?

Objective: Mallampati scoring is the most common examination method for predicting possible intubation problems. The purpose of this study is to investigate the relationship of facial anthropometric measurements with the modified Mallampati score (MMS). Material and Methods: The study population consisted of 153 male and 170 female volunteers (mean ages, 48,9±16,9 and 44,1±15,4 years, respectively). All participants were subjected to Mallampati scoring and facial anthropometric measurements during pre-operative visit. Anthropometric measurements included inter-incisor gap, lower face height, thyrogonial length, thyromental distance and bigonial distance. The relationship of anthropometric measurements with the MMS was investigated by statistical analysis. Results: Bigonial distance showed a positive correlation with the MMS (r=0.857; p

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  • 1. Caplan RA, Posner KL, Ward RJ, Cheney FW. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology 1990;72:828-33. [CrossRef]
  • 2. Samsoon GL, Young JR. Difficult tracheal intubation: a retrospective study. Anaesthesia 1987;42:487-90. [CrossRef]
  • 3. Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D, et al. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J 1985;32:429-34. [CrossRef]
  • 4. Karkouti K, Rose DK, Ferris LE, Wigglesworth DF, Meisami-Fard T, Lee H. Inter-observer reliability of ten tests used for predicting difficult tracheal intubation. Can J Anaesth 1996;43:554-9. [CrossRef]
  • 5. Yordanov Y. Naruchnik po antropologiya, Universitetsko Idatelstvo “Sv. Kliment Ohridski”, Sofia 1997.
  • 6. Merah NA, Wong DT, Ffoulkes-Crabbe DJ, Kushimo OT, Bode CO. Modified Mallampati test, thyromental distance and interincisor gap are the best predictors of difficult laryngoscopy in West Africans. Can J Anaesth 2005;52:291-6. [CrossRef]
  • 7. Krobbuaban B, Diregpoke S, Kumkeaw S, Tanomsat M. The predictive value of the height ratio and thyromental distance: four predictive tests for difficult laryngoscopy. Anesth Analg 2005;101:1542-5. [CrossRef]
  • 8. Salimi A, Farzanegan B, Rastegarpour A, Kolahi AA. Comparison of the upper lip bite test with measurement of thyromental distance for prediction of difficult intubations. Acta Anaesthesiol Taiwan 2008;46:61-5. [CrossRef]
  • 9. Khan ZH, Mohammadi M, Rasouli MR, Farrokhnia F, Khan RH. The diagnostic value of the upper lip bite test combined with sternomental distance, thyromental distance, and interincisor distance for prediction of easy laryngoscopy and intubation: a prospective study. Anesth Analg 2009;109:822-4. [CrossRef]
  • 10. Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology 2005;103:429-37. [CrossRef]
  • 11. Gray’s Anatomy. Bannister LH(Sec. ed.) Peter L. Williams Thirty Eighth edition. Churchill Livingstone 1995 1723-5 New York.
  • 12. Moore KL. Clinically oriented anatomy second edition. 1985 Williams& Wilkins Los Angeles 930-9.
  • 13. El-Ganzouri AR, McCarthy RJ, Tuman KJ, Tanck EN, Ivankovich AD. Preoperative airway assessment: predictive value of a multivariate risk index. Anesth Analg 1996;82:1197-204. [CrossRef]
  • 14. Ezri T, Warters RD, Szmuk P, Saad-Eddin H, Geva D, Katz J, Hagberg C. The incidence of class “zero” airway and the impact of Mallampati score, age, sex, and body mass index on prediction of laryngoscopy grade. Anesth Analg 2001;93:1073-5. [CrossRef]
Balkan Medical Journal-Cover
  • ISSN: 2146-3123
  • Başlangıç: 2015
  • Yayıncı: Erkan Mor
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