ArticleInternational journal of preventive medicine2013
Sensitivity of palm print, modified mallampati score and 3-3-2 rule in prediction of difficult intubation.
Article in International journal of preventive medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Pyriform sinus localization-assisted blind intubation: comparison with laryngoscopic intubation.Medical science monitor : international medical journal of experimental and clinical research · 2014Trial
- Influence of maxillofacial skeletal morphology on difficult laryngoscopy.BMC anesthesiology · 2025Article
- Association between Successful Palpation of the Cricothyroid Membrane and the 3-3-2 Rule for Predicting Difficult Airway in Female Patients Undergoing Non-Neck Surgery: A Prospective Observational Cohort Study.Journal of clinical medicine · 2022Article
- Assessment of Neck Characteristics for Laryngeal Mask Airway Size Selection in Patients Who Underwent an Elective Ocular Surgery; A Cross-Sectional Study.Bulletin of emergency and trauma · 2022Article
- Nomograms for predicting difficult airway based on ultrasound assessment.BMC anesthesiology · 2022Observational
- A Comparative Study to Evaluate the Efficacy of Virtual Versus Direct Airway Assessment in the Preoperative Period in Patients Presenting for Neurosurgery: A Quest for Safer Preoperative Practice in Neuroanesthesia in the Backdrop of the COVID-19 Pandemic!Journal of neurosciences in rural practice · 2021Article
- The Relationship between Orotracheal Intubation Difficulty Scoring Systems and Anthropometric Factors.Advanced journal of emergency medicine · 2019Article
- Cervical collar makes difficult airway: a simulation study using the LEMON criteria.Clinical and experimental emergency medicine · 2018Article
- Effect of Manual Caudal and Downward Displacement of Lower Cervical Adipose Tissue on Laryngoscopic Grade of Patients with Morbid Obesity.Anesthesiology and pain medicine · 2018Article
- Evaluation of Airway Management Proficiency in Pre-Hospital Emergency Setting; a Simulation Study.Emergency (Tehran, Iran) · 2018Article
- Diagnostic Value of Sonography for Confirmation of Endotracheal Intubation in the Emergency Department.Anesthesiology and pain medicine · 2017Article
- Opioid Drugs in Patients With Liver Disease: A Systematic Review.Hepatitis monthly · 2016Review
- Comparison of four techniques on facility of two-hand Bag-valve-mask (BVM) ventilation: E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (non-dominant hand) and Thenar Eminence (non-dominant hand) - E-C (dominant hand).Journal of cardiovascular and thoracic research · 2016Article
- Predicting difficult airways: 3-3-2 rule or 3-3 rule?Irish journal of medical science · 2015Observational
- Sensitivity of palm print sign in prediction of difficult laryngoscopy in diabetes: A comparison with other airway indices.Indian journal of anaesthesia · 2014Article
- Comparison of three methods in improving bag mask ventilation.International journal of preventive medicine · 2014Article
- Which Form of Medical Training is the Best in Improving Interns' knowledge Related to Advanced Cardiac Life Support Drugs Pharmacology? An Educational Analytical Intervention Study Between Electronic Learning and Lecture-Based Education.Anesthesiology and pain medicine · 2014Article
- Comparison between the effects of alfentanil, fentanyl and sufentanil on hemodynamic indices during rapid sequence intubation in the emergency department.Anesthesiology and pain medicine · 2014Article
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Authors and funding
7 authors.
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Abstract
backgroundThis study evaluated the performance of modified Mallampati score, 3-3-2 rule and palm print in prediction of difficult intubation.
methodsIn a prospective descriptive study, data from 500 patients scheduled for elective surgery under general anesthesia were collected. An anesthesiologist evaluated the airway using mentioned tests and another anesthesiologist evaluated difficult intubation. Laryngoscopic views were determined by Cormack and Lehane score. Grades 3 and 4 were defined as difficult intubation. Sensitivity, specificity, positive predictive value, negative predictive value and Youden index were determined for all tests.
resultsDifficult intubation was reported in 8.9% of the patients. There was a significant correlation between body mass index and difficult intubation (P : 0.004); however, other demographic characteristics didn't have a significant correlation with difficult intubation. Among three tests, palm print was of highest specificity (96.46%) and modified Mallampati of highest sensitivity (98.40%). In a combination of the tests, the highest specificity, sensitivity and Youden index were observed when using all three tests together.
conclusionsPalm print has a high specificity for prediction of difficult intubation, but the best way for prediction of difficult intubation is using all three tests together.
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24130949PMC3793489What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.