THE COMPARISON OF MALLAMPATI TEST IN SUPINE AND SITTING POSITION IN TRADITIONAL APPROACH AND DURING PHONATION FOR PREDICTING OF DIFFICULT LARYNGOSCOPY AND INTUBATION

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HUSSAIN KHAN ZAHID; ESKANDARI SHAHRAM; RAHIMI MOJGAN; MAKAREM JALIL; MEYSAMI ALIPASHA; KHORASANI ALI MOHAMMAD; ZEBARDAST JAYRAN

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Journal: Tehran University Medical Journal Year:2012 | Volume:70 | Issue:6 Page(s): 0-0

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Title

THE COMPARISON OF MALLAMPATI TEST IN SUPINE AND SITTING POSITION IN TRADITIONAL APPROACH AND DURING PHONATION FOR PREDICTING OF DIFFICULT LARYNGOSCOPY AND INTUBATION

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Keywords

CORMACK & LEHANE SCOREQ3

INTUBATIONQ2

MALLAMPATI TESTQ2

PHONATIONQ2

SUPINE POSITIONQ2

Abstract

Background: Inadequate ventilation, esophageal INTUBATION and difficult INTUBATION are the most common adverse respiratory outcomes in patient undergoing anesthesia. The aim of this study was to compare MALLAMPATI TEST in supine and sitting positions in traditional approach and during PHONATION for predicting difficult laryngoscopy and INTUBATION.Methods: In this study performed in Imam Khomeini Hospital in Tehran, Iran, MALLAMPATI TEST was performed on 661 patients who met the inclusion criteria for the study. The test was done in supine and sitting positions with and without PHONATION by a rater who was blind to MALLAMPATI TEST. Subsequently, laryngoscopy view and difficult INTUBATION were evaluated in the four aforesaid positions by MALLAMPATI TEST for predicting difficult laryngoscopy and INTUBATION. For each situations, sensitivity, specificity, positive and negative predictive values and accuracy were calculated.Results: Overall, 28 (4.2%) patients had difficult laryngoscopy and 9 (1.4%) patients had difficult INTUBATION. The highest sensitivity for MALLAMPATI TEST in predicting difficult laryngoscopy and INTUBATION was in supine and sitting positions without PHONATION, and the highest specificity was seen in sitting position with PHONATION. Negative predictive values were more than 95% in all different positions for MALLAMPATI TESTs and the highest positive predictive value was seen in SUPINE POSITION with PHONATION.Conclusion: According to our findings, the highest correlation between MALLAMPATI TEST and different positions in predicting difficult laryngoscopy and INTUBATION was seen in SUPINE POSITION with PHONATION. PHONATION improved Mallampati score in supine rather than sitting position.

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APA: Copy

HUSSAIN KHAN, ZAHID, ESKANDARI, SHAHRAM, RAHIMI, MOJGAN, MAKAREM, JALIL, MEYSAMI, ALIPASHA, KHORASANI, ALI MOHAMMAD, & ZEBARDAST, JAYRAN. (2012). THE COMPARISON OF MALLAMPATI TEST IN SUPINE AND SITTING POSITION IN TRADITIONAL APPROACH AND DURING PHONATION FOR PREDICTING OF DIFFICULT LARYNGOSCOPY AND INTUBATION. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 70(6), 0-0. SID. https://sid.ir/paper/392848/en

Vancouver: Copy

HUSSAIN KHAN ZAHID, ESKANDARI SHAHRAM, RAHIMI MOJGAN, MAKAREM JALIL, MEYSAMI ALIPASHA, KHORASANI ALI MOHAMMAD, ZEBARDAST JAYRAN. THE COMPARISON OF MALLAMPATI TEST IN SUPINE AND SITTING POSITION IN TRADITIONAL APPROACH AND DURING PHONATION FOR PREDICTING OF DIFFICULT LARYNGOSCOPY AND INTUBATION. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2012;70(6):0-0. Available from: https://sid.ir/paper/392848/en

IEEE: Copy

ZAHID HUSSAIN KHAN, SHAHRAM ESKANDARI, MOJGAN RAHIMI, JALIL MAKAREM, ALIPASHA MEYSAMI, ALI MOHAMMAD KHORASANI, and JAYRAN ZEBARDAST, “THE COMPARISON OF MALLAMPATI TEST IN SUPINE AND SITTING POSITION IN TRADITIONAL APPROACH AND DURING PHONATION FOR PREDICTING OF DIFFICULT LARYNGOSCOPY AND INTUBATION,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 70, no. 6, pp. 0–0, 2012, [Online]. Available: https://sid.ir/paper/392848/en

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