A COMPARISON OF THE UPPER LIP BITE TEST WITH HYOMENTAL / THYROSTERNAL DISTANCES
AND MANDIBLE LENGTH IN PREDICTING DIFFICULTY IN INTUBATION

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HOSSEINKHAN ZAHED; MALEKI A.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2005 | Volume:27 | Issue:49 Page(s): 5-11

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Information Journal Paper

Title

A COMPARISON OF THE UPPER LIP BITE TEST WITH HYOMENTAL / THYROSTERNAL DISTANCES AND MANDIBLE LENGTH IN PREDICTING DIFFICULTY IN INTUBATION

Author(s)

HOSSEINKHAN ZAHED | MALEKI A. | Issue Writer Certificate

Keywords

UPPER LIP BITE DISTANCEQ4

THYROSTERNAL DISTANCEQ4

LARYNGOSCOPYQ4

DIFFICULT INTUBATION TESTQ4

HYOMENTAL MANDIBLE LENGTHQ4

LARYNGOSCOPYQ4

DIFFICULT INTUBATIONQ4

Abstract

Background and Objectives: Difficulty in tracheal intubation has always been a problem in both elective and emergency setting. The aim of this study was to compare the newly designed test, the Upper Lip Bite Test, (UIBT) with prevailing Tests - the Hyomental / THYROSTERNAL DISTANCEs (HMD, TSD) and the Mandible length (ML) in predicting difficulty in intubation. Materials and Method: A total of 300 patients meeting the inclusion criteria were enrolled in this study. Each patient was assessed by a resident of anesthesiology, regarding the ULBT, HMD, TSD and ML, and LARYNGOSCOPY was performed by the anesthetics blinded to the measurements obtained and grading recorded using the Cormack and Lehane larynogoscopic grading system. The data obtained were analyzed using Chi square and ANOVA. Results: The results showed 11.3% incidence of DIFFICULT INTUBATION. Sensitivity and specificity of ULBT were 94% and 100% respectively, being the highest compared to TSD which were the lowest being 88% and zero percent respectively ULBT class III had a direct correlation with HMD, <3.5 cm (p=0.00), and ML <9 cm (p=0.00).UIBT had the highest positive and negative predictive values (100% and 47%) respectively. Accuracy of ULBT was found to be 94%, again the highest among the four tests. Conclusion: In conclusion, ULBT was found to have the highest sensitivity and specificity and accuracy, and could be used as a single bed test in predicting difficulty in intubation.

Cites

AIRWAY: HISTORICAL BACKGROUND, PREOPERATIVE ASSESSMENT AND MANAGEMENT OF ELECTIVE AND EMERGENCY AIRWAY PROBLEMS (REVIEW ARTICLE)

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APA: Copy

HOSSEINKHAN, ZAHED, & MALEKI, A.. (2005). A COMPARISON OF THE UPPER LIP BITE TEST WITH HYOMENTAL / THYROSTERNAL DISTANCES AND MANDIBLE LENGTH IN PREDICTING DIFFICULTY IN INTUBATION. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 27(49), 5-11. SID. https://sid.ir/paper/63429/en

Vancouver: Copy

HOSSEINKHAN ZAHED, MALEKI A.. A COMPARISON OF THE UPPER LIP BITE TEST WITH HYOMENTAL / THYROSTERNAL DISTANCES AND MANDIBLE LENGTH IN PREDICTING DIFFICULTY IN INTUBATION. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2005;27(49):5-11. Available from: https://sid.ir/paper/63429/en

IEEE: Copy

ZAHED HOSSEINKHAN, and A. MALEKI, “A COMPARISON OF THE UPPER LIP BITE TEST WITH HYOMENTAL / THYROSTERNAL DISTANCES AND MANDIBLE LENGTH IN PREDICTING DIFFICULTY IN INTUBATION,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 27, no. 49, pp. 5–11, 2005, [Online]. Available: https://sid.ir/paper/63429/en

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