Prediction of a Difficult Airway Using the ARNE Score and Flexible Laryngoscopy in Patients with Laryngeal Pathology
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Risk Factors | Points | |
---|---|---|
Previous knowledge of difficult intubation | No | 0 |
Yes | 10 | |
Pathologies associated with difficult intubation | No | 0 |
Yes | 5 | |
Clinical symptoms of airway pathology | No | 0 |
Yes | 3 | |
Inter-incisor gap (IIG) and mandible luxation (ML) | IIG ≥ 5 cm ili ML > 0 | 0 |
3.5 cm < IIG < 5 cm i ML = 0 | 3 | |
IIG < 3.5 cm i ML < 0 | 13 | |
Thyromental distance | ≥6.5 cm | 0 |
<6.5 cm | 4 | |
Maximal range of head and neck movement | >100° | 0 |
90° ± 10° | 2 | |
<80° | 5 | |
Mallampati’s modified test | Class 1 | 0 |
Class 2 | 2 | |
Class 3 | 6 | |
Class 4 | 8 | |
TOTAL POSSIBLE | 48 |
Parameter | Score |
---|---|
Number of attempts > 1 | Every additional attempt adds 1 point |
Number of operators > 1 | Every additional operator adds 1 point |
Number of alternative techniques | Seach alternative technique adds 1 point |
Cormack–Lehane grade | Grade 1 = 0 points |
Grade 2 = 1 points | |
Grade 3 = 2 points | |
Grade 4 = 3 points | |
Lifting force required | Normal = 0 points |
Increased = 1 points | |
Laryngeal pressure | No = 0 points |
Yes = 1 points | |
Vocal cords mobility | Abduction = 0 points |
Adduction = 1 points |
Parameter Added to Flexible Laryngoscopy | χ2 | p | Nagelkerke R2 | % of Correct Classification of Cases |
---|---|---|---|---|
ARNE score | 57.708 | <0.0001 | 57 | 86 |
ARNE score with old cut-off value | 35.447 | <0.0001 | 41.5 | 81 |
ARNE score with new cut-off value | 40.626 | <0.0001 | 46.5 | 81 |
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Marković, D.; Šurbatović, M.; Milisavljević, D.; Marjanović, V.; Stošić, B.; Stanković, M. Prediction of a Difficult Airway Using the ARNE Score and Flexible Laryngoscopy in Patients with Laryngeal Pathology. Medicina 2024, 60, 619. https://doi.org/10.3390/medicina60040619
Marković D, Šurbatović M, Milisavljević D, Marjanović V, Stošić B, Stanković M. Prediction of a Difficult Airway Using the ARNE Score and Flexible Laryngoscopy in Patients with Laryngeal Pathology. Medicina. 2024; 60(4):619. https://doi.org/10.3390/medicina60040619
Chicago/Turabian StyleMarković, Danica, Maja Šurbatović, Dušan Milisavljević, Vesna Marjanović, Biljana Stošić, and Milan Stanković. 2024. "Prediction of a Difficult Airway Using the ARNE Score and Flexible Laryngoscopy in Patients with Laryngeal Pathology" Medicina 60, no. 4: 619. https://doi.org/10.3390/medicina60040619
APA StyleMarković, D., Šurbatović, M., Milisavljević, D., Marjanović, V., Stošić, B., & Stanković, M. (2024). Prediction of a Difficult Airway Using the ARNE Score and Flexible Laryngoscopy in Patients with Laryngeal Pathology. Medicina, 60(4), 619. https://doi.org/10.3390/medicina60040619