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Pbkp_redictores de via aérea difícil: validación de los tests de Mallampaty, Patil Aldreti, distancia esternomentoniana y apertura bucal frente a la laringoscopía directa para intubación orotraqueal Hospital José Carrasco Arteaga, Cuenca 2009

Abstract:

Objective. Validating the proofs of: Modified Mallampati, Thyromental Distance (TMD), Sternomental Distance (SMD) and Buccal Opening, separately and combined, in front of the Laryngoscopy, like pbkp_redictors of difficult air route. Materials and Method. Were evaluated 250 patients with ages between 16 and 72 years, of both sexes, ASA I and II, submitted to elective low surgery general anesthesia whom in the pre-operative I accomplish to them his measurement of: Modified Mallampati, Buccal Opening, Thyromental Distance and Sternomental Distance, right after induction and with the patient the direct laryngoscopy had total success in a diagram made suitable for the intubation, considering oneself grade III and IV according to Cormack's-Lehane's method like intubation difficult orotraqueal. Results. The incidence of difficult intubation went from 6 %. Sensibility, specificity, pbkp_redictive positive value, pbkp_redictive negative value of the 4 proofs was Modified Mallampati ( 73,33 %, 85,11 %, 23,91 %, 98,04 % ) AB ( 40 %, 98,72 %, 66,67 %, 96,27 % ) DTM ( 53,33 %, 99,57 %, 88,89 %, 97,10 % ) DEM ( 60 %, 99,15 %, 81,82 %, 97,49 % ). The following was obtained when combining the four proofs: Sensibility: 90 %, Specificity: 97,50 %, Pbkp_redictive Positive Value: 60 %, Pbkp_redictive Negative Value: 99.57 %. Conclusion. The proofs here described have not much value like pbkp_redictors of difficult air route But it is necessary to score than if the easy orotraqueal pbkp_redicts an intubation itself, this will really be easy in a loud percentage Key words: Air route, Pbkp_redictors, Intratraqueal Intubation Sensibility, Pbkp_redictive Positive Value, Specificity.