Distance from skin to epiglottis measurement with ultrasonography as a predictor of difficult laryngoscopy: A diagnostic test accuracy meta-analysis
Yükleniyor...
Dosyalar
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Sci Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: The studies investigating distance from the skin to epiglottis measurements by ultrasonography (USDSEM) for prediction of difficult laryngoscopy are inconclusive and non-standardised. Aim: We aimed to assess the diagnostic test accuracy (DTA) of US-DSEM relative to Cormack Lehane 3-4 for diagnosing difficult laryngoscopy using a meta-analysis method. Method: Strict inclusion criteria were used to provide clear definition of how to measure US-DSEM. PubMed, Cochrane Library, Embase and Google Scholar were searched for papers published between January 2005 and March 2021 to perform a systematic review and DTA meta-analysis. Publications reporting data on US-DSEM in difficult laryngoscopy prediction in adults with normal airway were included. Exclusions were obese or pregnant patients and patients with difficult airway predictors and those in which the measurements were made in a position other than supine and neutral positions. The pooled sensitivity, specificity, positive/negative likelihood ratios (PLR/NLR), diagnostic odds ratio (DOR), and area under the hierarchic summary receiver operating characteristics curve (AU-HSROC) were determined. Results: 1244 patients from nine studies were included. Pooled sensitivity: 0.68 (95%CI 0.39-0.87), specificity: 0.76 (95%CI 0.68-0.83), PLR: 2.87 (95%CI 2.20-3.73), NLR: 0.42 (%95CI 0.20-0.87), DOR: 6.80 (95%CI 2.72-17.3), and AU-HSROC: 0.79 (0.75-0.82) were the results. No threshold effect (r = 0.53, p = 0.137) and publication bias (p = 0.540) existed. Conclusion: This meta-analysis showed that US-DSEM measured with linear probe placed transversely at the thyrohyoid membrane level with midline approach and neutral head position is accurate and has diagnostic value in predicting difficult laryngoscopy. However, its sensitivity and specificity are not sufficient to replace clinical tests.
Açıklama
Anahtar Kelimeler
Italy., Diagnostic test, Airway management, Ultrasound, Meta -analysis, Systematic review, Diagnostic imaging
Kaynak
Trends in Anaesthesia and Critical Care
WoS Q Değeri
Q3
Scopus Q Değeri
Q3
Cilt
52
