Effectiveness of simplified predictive intubation difficulty score and thyromental height in head and neck surgeries: an observational study

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dc.authoridselvi, onur/0000-0003-4503-9462en_US
dc.contributor.authorSelvi, Onur
dc.contributor.authorKahraman, Seda Tuğçe
dc.contributor.authorTulgar, Serkan
dc.contributor.authorŞentürk, Özgur
dc.contributor.authorSerifsoy, Talat Ercan
dc.contributor.authorThomas, David
dc.contributor.authorÇınar, Ayşe Surhan
dc.date.accessioned2024-07-12T21:37:48Z
dc.date.available2024-07-12T21:37:48Z
dc.date.issued2020en_US
dc.department[Belirlenecek]en_US
dc.description.abstractBackground and objectives: In this study, we aimed to investigate the predictive value of different airway assessment tools, including parts of the Simplified Predictive Intubation Difficulty Score (SPIDS), the SPIDS itself and the Thyromental Height Test (TMHT), in intubations defined as difficult by the Intubation Difficulty Score (IDS) in a group of patients who have head and neck pathologies. Methods: One hundred fifty-three patients who underwent head and neck surgeries were included in the study. The Modified Mallampati Test (MMT) result, Thyromental Distance (TMD), Ratio of the Height/Thyromental Distance (RHTMD), TMHT, maximum range of head and neck motion, and mouth opening were measured. The SPIDSs were calculated, and the IDSs were determined. Results: A total of 25.4% of the patients had difficult intubations. SPIDS scores > 10 had 86.27% sensitivity, 71.57% specificity and 91.2% Negative Predictive Value (NPV). The results of the Receiver Operating Curve (ROC) analysis for the airway screening tests and SPIDS revealed that the SPIDS had the highest area under the curve; however, it was statistically similar to other tests, except for the MMT. Conclusions: The current study demonstrates the practical use of the SPIDS in predicting intubation difficulty in patients with head and neck pathologies. The performance of the SPIDS in predicting airway difficulty was found to be as efficient as those of the other tests evaluated in this study. The SPIDS may be considered a comprehensive, detailed tool for predicting airway difficulty. (C) 2020 Published by Elsevier Editora Ltda. on behalf of Sociedade Brasileira de Anestesiologia.en_US
dc.identifier.doi10.1016/j.bjan.2020.06.005
dc.identifier.endpage604en_US
dc.identifier.issn0034-7094
dc.identifier.issn1806-907X
dc.identifier.issue6en_US
dc.identifier.pmid33187687en_US
dc.identifier.scopus2-s2.0-85095942547en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage595en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjan.2020.06.005
dc.identifier.urihttps://hdl.handle.net/20.500.12415/6947
dc.identifier.volume70en_US
dc.identifier.wosWOS:000605738300006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
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.snmzKY04289
dc.subjectDifficult Intubationen_US
dc.subjectDifficult Airwayen_US
dc.subjectAirway Assessmenten_US
dc.titleEffectiveness of simplified predictive intubation difficulty score and thyromental height in head and neck surgeries: an observational studyen_US
dc.typeArticle
dspace.entity.typePublication

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