Parish Masoud, Rouhani Alireza, Deljavan Sanaz Irannejad, Abedini Naghi
Department of Anesthesiology Associate Professor, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Orthopedics Associate Professor, Shoulder Surgery Fellowship, Tabriz University of Medical Sciences and Health Services, Tabriz, Iran.
J Family Med Prim Care. 2023 Jan;12(1):27-31. doi: 10.4103/jfmpc.jfmpc_2151_21. Epub 2023 Feb 15.
A high percentage of dangerous events in anesthesia occur due to airway problems, and proper airway management is always one of the key points during anesthesia. Airway management in critically ill patients is one of the most stressful situations for primary care physicians and even for anesthesiologists. The aim of this study was to evaluate the anatomical features of patients' airways, including the angle of deviation of the nasal line from the nasal to the mentum (NMLD), and perform a Mallampati test.
This cross-sectional study was performed on all patients admitted to Shohada Hospital in Tabriz, Iran, who were candidates for elective surgery for 1 year and 6 months, and underwent endotracheal intubation. Based on laryngeal observation, patients were classified into four groups. Then, all data related to individuals including type of surgery, age, sex, weight, height, body mass index (BMI), and nasal mentum line deviation (NMLD) were recorded. Then, all the collected data were analyzed using SPSS software version 19.
A total of 85 patients from 17 to 67 years with a mean age of 37.64 ± 12.89 were studied. There was a statistically significant relationship between laryngoscopy difficulty and Mallampati score ( = 0.001). The findings showed a statistically significant relationship between laryngoscopy difficulty and the mean NMLD ( = 0.01). A Mallampati of 85% indicates laryngoscopy difficulty. Also, NMLD can predict laryngoscopy difficulty by up to 66%.
The present study demonstrated that both the Mallampati score variable and NMLD are related to the difficult airway problem. Furthermore, the Mallampati score has a higher predictive value for difficult intubation than the NMLD.
麻醉过程中高比例的危险事件是由气道问题引起的，而恰当的气道管理始终是麻醉期间的关键点之一。对重症患者进行气道管理，无论是对于初级护理医生还是麻醉医生来说，都是压力最大的情况之一。本研究的目的是评估患者气道的解剖特征，包括鼻线从鼻至颏的偏斜角度（NMLD），并进行马兰帕蒂试验。
本横断面研究对伊朗大不里士市 Shohada 医院收治的所有患者进行，这些患者在 1 年零 6 个月内接受择期手术并接受气管插管。根据喉镜观察，将患者分为四组。然后，记录所有与个体相关的数据，包括手术类型、年龄、性别、体重、身高、体重指数（BMI）和鼻颏线偏斜（NMLD）。接着，使用 SPSS 19 版软件对所有收集的数据进行分析。
共研究了 85 例年龄在 17 至 67 岁之间、平均年龄为 37.64±12.89 岁的患者。喉镜检查难度与马兰帕蒂评分之间存在统计学显著关系（P = 0.001）。研究结果显示，喉镜检查难度与平均 NMLD 之间存在统计学显著关系（P = 0.01）。85%的马兰帕蒂评分表明喉镜检查困难。此外，NMLD 对喉镜检查困难的预测准确率高达 66%。
本研究表明，马兰帕蒂评分变量和 NMLD 均与困难气道问题相关。此外，马兰帕蒂评分对困难插管的预测价值高于 NMLD。
