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Tanaffos، جلد ۲۳، شماره ۲، صفحات ۱۶۳-۱۶۹
عنوان فارسی
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عنوان انگلیسی Comparison of Acromio-Axillo-Suprasternal Notch Index (AASI) with Hyomental Distance Ratio Test (HMDR) in Predicting Difficult Visualization of the Larynx
چکیده انگلیسی مقاله Background: Safe airway management during anesthesia induction is a challenging issue. Airway-related morbidity can be prevented by carefully evaluating patients and formulating a difficult airway management strategy. The purpose of this study is to investigate and compare two indices, AASI, and HMDR, in predicting difficult laryngoscopic visualization.
Materials and Methods: Six hundred and twenty-two patients, who entered the operating room for any type of elective surgery and were candidates for general anesthesia, underwent AASI and HMDR measurements after filling out a questionnaire containing personal information, oral examinations, and history of illness or surgery before anesthesia prescription. The Cormack grade was recorded during laryngoscopy, and finally, the predictive value of the two methods was compared.
Results: Based on analysis, AASI has a higher specificity than HDMR (87.5% vs. 76.1%) and the positive predictive value of AASI is 97%. Therefore, both HMDR and AASI are valid and significant indicators for predicting difficult laryngoscopy.
Conclusion: AASI has a better diagnostic profile than HMDR regarding sensitivity and positive predictive value, Additionally, AASI is more convenient to use because it is simpler and visually predictable, making it a reliable clinical predictor.
کلیدواژه‌های انگلیسی مقاله Anesthesia,Laryngoscopy,Difficult Intubation,Airway management,Cormack score
نویسندگان مقاله Alireza Jaffari |
Department of Anesthesiology, Critical Care and Pain Medicine, Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Homayoun Aghamohammadi |
Department of Anesthesiology, Critical Care and Pain Medicine, Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Mahdis Hamedi |
School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Mohammad Reza Kamranmanesh |
Department of Anesthesiology, Critical Care and Pain Medicine, Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Parisa Sezari |
Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Ardalaan Papari |
head of anaesthesia department, Canadian specialist Hospital, Dubai, United Arab Emirates

Ali Solhpour |
department of anaesthesiology, University of Florida college of medicine, Gainesville, Florida

Kamran Mottaghi |
Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

نشانی اینترنتی https://www.tanaffosjournal.ir/article_720276_67d88997030e94b41c29e6bbd3bfc2a7.pdf
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