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Validation of Simple Methods to Select a Suitable Nostril for Nasotracheal Intubation
المؤلفون المشاركون
Thongrong, Cattleya
Thaisiam, Pattramon
Kasemsiri, Pornthep
المصدر
Anesthesiology Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-08-01
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Nasotracheal intubation is a blind procedure that may lead to complications; therefore, several tests were introduced to assess a suitable nostril for nasotracheal intubation.
However, the value of simple tests in clinical practice was insufficient to evaluate.
Method.
A diagnostic prospective study was conducted in 42 patients, ASA classes I–III, undergoing surgery requiring nasotracheal intubation for general anesthesia.
Two simple methods for assessing the patency of nostrils were investigated.
Firstly, the occlusion test was evaluated by asking for the patient’s own assessment of nasal airflow during occlusion of each contralateral nostril while in a sitting posture.
Secondly, patients breathed onto a spatula held 1 cm below the nostrils while in a sitting posture.
All patients were assessed using these two simple tests.
Nasal endoscopic examination of each patient was used as a gold standard.
Results.
The diagnostic value of the occlusion test (sensitivity of 91.7%, specificity of 61.1%, PPV of 75.9%, NPV of 84.6%, LR+ of 2.36, and LR− of 0.14) seemed better than that of the spatula test (sensitivity of 95.8%, specificity of 25.0%, PPV of 63.0%, NPV of 81.8%, LR+ of 1.28, and LR− of 0.17).
When both tests were combined in series, the diagnostic value increased (sensitivity of 87.9%, specificity of 70.8%, PPV of 80.1%, NPV of 81.4%, LR+ of 3.01, and LR− of 0.17).
Conclusion and Recommendations.
The simple occlusion test is more useful than the spatula test.
However, combining the results from both tests in series helped to improve the diagnostic value for selecting a suitable nostril for nasotracheal intubation.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Thongrong, Cattleya& Thaisiam, Pattramon& Kasemsiri, Pornthep. 2018. Validation of Simple Methods to Select a Suitable Nostril for Nasotracheal Intubation. Anesthesiology Research and Practice،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1122880
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Thongrong, Cattleya…[et al.]. Validation of Simple Methods to Select a Suitable Nostril for Nasotracheal Intubation. Anesthesiology Research and Practice No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1122880
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Thongrong, Cattleya& Thaisiam, Pattramon& Kasemsiri, Pornthep. Validation of Simple Methods to Select a Suitable Nostril for Nasotracheal Intubation. Anesthesiology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1122880
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1122880
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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