PDF(Pubmed)
Abstract：
UNASSIGNED: Airway management of patients with long-standing diabetes poses a major challenge for anaesthesiologists due to stiff joint syndrome affecting the atlanto-occipital joint. In certain cases requiring immobilization, the Mallampati test must often be performed in the supine position for obvious reasons.
UNASSIGNED: Hence, we determined the diagnostic precision (sensitivity and specificity) of the modified Mallampati test in sitting and supine positions among the diabetic population in predicting difficult tracheal intubation.
UNASSIGNED: A single-center prospective observational study on adult diabetic patients undergoing general anesthesia and orotracheal intubation was carried out. An observer recorded the modified Mallampati in the sitting posture during the pre-anesthetic examination. The Mallampati in the supine position was determined while in the operating room, and the difficulty of intubation was noted, and diagnostic precision was calculated. The main objective was to predict a difficult airway by calculating the sensitivity, specificity, positive predictive value, and negative predictive value.
UNASSIGNED: Out of the 150 participants, Mallampati grading in a sitting position was correctly able to identify 42.5% of difficult intubation cases, whereas it was 97.5% with Mallampati in the supine position. Mallampati grading in the sitting position was able to correctly identify 89.1% of easy intubation cases, which was 63.6% with Mallampati in the supine position. The correlation of Mallampati in the supine position with CL grading was statistically significant (P < 0.001).
UNASSIGNED: Among diabetic patients, the modified Mallampati test in the supine position can be considered a more accurate and sensitive predictor of difficult intubation than the sitting posture.
UNASSIGNED: Hence, we determined the diagnostic precision (sensitivity and specificity) of the modified Mallampati test in sitting and supine positions among the diabetic population in predicting difficult tracheal intubation.
UNASSIGNED: A single-center prospective observational study on adult diabetic patients undergoing general anesthesia and orotracheal intubation was carried out. An observer recorded the modified Mallampati in the sitting posture during the pre-anesthetic examination. The Mallampati in the supine position was determined while in the operating room, and the difficulty of intubation was noted, and diagnostic precision was calculated. The main objective was to predict a difficult airway by calculating the sensitivity, specificity, positive predictive value, and negative predictive value.
UNASSIGNED: Out of the 150 participants, Mallampati grading in a sitting position was correctly able to identify 42.5% of difficult intubation cases, whereas it was 97.5% with Mallampati in the supine position. Mallampati grading in the sitting position was able to correctly identify 89.1% of easy intubation cases, which was 63.6% with Mallampati in the supine position. The correlation of Mallampati in the supine position with CL grading was statistically significant (P < 0.001).
UNASSIGNED: Among diabetic patients, the modified Mallampati test in the supine position can be considered a more accurate and sensitive predictor of difficult intubation than the sitting posture.
摘要：
■长期糖尿病患者的气道管理对麻醉医师提出了重大挑战，因为关节僵硬综合征影响了寰枕关节。在某些情况下需要固定，由于明显的原因，Mallampati试验必须经常在仰卧位进行。
■因此，我们确定了糖尿病人群中坐位和仰卧位改良Mallampati试验预测困难气管插管的诊断精度(敏感性和特异性).
■对接受全身麻醉和经气管插管的成年糖尿病患者进行了单中心前瞻性观察研究。在麻醉前检查期间，观察者以坐姿记录了改良的Mallampati。在手术室时确定仰卧位的Mallampati，注意到插管的困难，并计算了诊断精度。主要目标是通过计算灵敏度来预测困难的气道，特异性，正预测值，和阴性预测值。
■在150名参与者中，Mallampati在坐姿中的分级能够正确识别42.5%的困难插管病例，而Mallampati的仰卧位为97.5％。Mallampati分级在坐位中能够正确识别89.1%的易插管病例,Mallampati仰卧位为63.6%。仰卧位Mallampati与CL分级的相关性有统计学意义(P<0.001)。
■在糖尿病患者中，改良的仰卧位Mallampati试验可被认为是比坐姿更准确、更敏感的插管困难预测指标.
■因此，我们确定了糖尿病人群中坐位和仰卧位改良Mallampati试验预测困难气管插管的诊断精度(敏感性和特异性).
■对接受全身麻醉和经气管插管的成年糖尿病患者进行了单中心前瞻性观察研究。在麻醉前检查期间，观察者以坐姿记录了改良的Mallampati。在手术室时确定仰卧位的Mallampati，注意到插管的困难，并计算了诊断精度。主要目标是通过计算灵敏度来预测困难的气道，特异性，正预测值，和阴性预测值。
■在150名参与者中，Mallampati在坐姿中的分级能够正确识别42.5%的困难插管病例，而Mallampati的仰卧位为97.5％。Mallampati分级在坐位中能够正确识别89.1%的易插管病例,Mallampati仰卧位为63.6%。仰卧位Mallampati与CL分级的相关性有统计学意义(P<0.001)。
■在糖尿病患者中，改良的仰卧位Mallampati试验可被认为是比坐姿更准确、更敏感的插管困难预测指标.
