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Information Journal Paper

Title

Diagnostic Accuracy of Combined Mallampati and Wilson Score to Predict Diffi cult Intubation in Obese Patients: A Descriptive Cross-sectional Study

Pages

  0-0

Abstract

 Background: Airway protection during anesthesia is often the primary concern of anesthetists when working with obese patients and always is a diffi cult task due to increased exposure to harmful eff ects of apnea, hypoxia, and impaired respiratory mechanics. Objectives: The primary goal of this research was to determine the Diagnostic Accuracy of combined Mallampati and Wilson score in detecting diffi cult intubation in obese patients undergoing surgery by taking the Cormack-Lehane grading on direct laryngoscopy and intubation as the gold standard. Methods: This descriptive cross-sectional study was done in 300 obese patients with BMI > 29. 9 kg/m. Modifi ed Mallampati and Wilson score was recorded preoperatively for each patient in the sitting position by the primary investigator. Endotracheal intubation grades were also recorded, and grades IIb, III, and IV were regarded as diffi cult intubation according to the Cormack-Lehane intubation classifi cation. Results: The mean age was 46. 76  15. 57 years. The sensitivity, specifi city, positive predictive value, negative predictive value, and Diagnostic Accuracy of the combined Mallampati and Wilson score for detecting diffi cult laryngoscopy and diffi cult intubation were 75. 0, 98. 8, 92. 9, 95. 0, and 94. 6%, respectively. Conclusions: Combined Mallampatti and Wilson Score is highly accurate in the initial diagnostic workup of obese patients at risk of diffi cult intubation. It is easy to calculate and lower the risk of intubation-related complications and failure.

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    APA: Copy

    Maudood Siddiqui, Khalid, Hameed, Faruq, & Ali, Muhammad Asghar. (2021). Diagnostic Accuracy of Combined Mallampati and Wilson Score to Predict Diffi cult Intubation in Obese Patients: A Descriptive Cross-sectional Study. ANESTHESIOLOGY AND PAIN MEDICINE, 11(6), 0-0. SID. https://sid.ir/paper/984616/en

    Vancouver: Copy

    Maudood Siddiqui Khalid, Hameed Faruq, Ali Muhammad Asghar. Diagnostic Accuracy of Combined Mallampati and Wilson Score to Predict Diffi cult Intubation in Obese Patients: A Descriptive Cross-sectional Study. ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2021;11(6):0-0. Available from: https://sid.ir/paper/984616/en

    IEEE: Copy

    Khalid Maudood Siddiqui, Faruq Hameed, and Muhammad Asghar Ali, “Diagnostic Accuracy of Combined Mallampati and Wilson Score to Predict Diffi cult Intubation in Obese Patients: A Descriptive Cross-sectional Study,” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 11, no. 6, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/984616/en

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