Volume 6, Issue 4, July 2020, Page: 60-64
Sensitivity and Specificity of Difficult Airway Parameters at Asella Teaching and Referral Hospital, Oromia Regional State, Ethiopia
Tahir Aman Worji, Department of Anesthesia, Arsi University, Asella, Ethiopia
Abdurahman Tune Dedecho, Department of Anesthesia, Arsi University, Asella, Ethiopia
Getahun Molla Shonka, Department of Surgery, Wolaita Soddo University, Wolaita Soddo, Ethiopia
Melese Meleku Kuruche, Department of Nursing, Woliata Soddo University, Wolaita Sodo, Ethiopia
Mohammed Suleiman Obsa, Department of Anesthesia, Wolaita Soddo University, Wolaita Soddo, Ethiopia
Received: Jun. 7, 2020;       Accepted: Jun. 17, 2020;       Published: Jul. 17, 2020
DOI: 10.11648/j.ijcems.20200604.12      View  49      Downloads  21
Abstract
Background: Maintenance of a patent airway is a primary responsibility of anesthesiologists. The difficulty of achieving a patent airway varies with anatomical and other individual factors, and identification of the patient with a difficult airway is vital in planning anesthesia management so that endotracheal intubation and positive pressure ventilation can be achieved safely. Institutional based crossectional study design was conducted using systematic random sampling technique. Regular supervision and follow up was made. Sensitivity, specificity, positive and negative predictive value was calculated to confirm presence of difficulty airway. A total of 184 patients who underwent surgery under general anaesthesia were included into the study. The mandibular protrusion test, the use of stylet, neck mobility and mouth opening < 30 mm are the airway parameters found to the most sensitive tests. The combination of bedside airway parameters to predict difficult airway showed that Mallampati classes III & IV, Mandibular protrusion mouth opening < 30 mm, attempt > 3, and ineffective alternative technique were strongly associated with difficulty airway.
Keywords
Difficult Airway, Sensitivity, Specificity, General Anesthesia, Airway Management, Asella
To cite this article
Tahir Aman Worji, Abdurahman Tune Dedecho, Getahun Molla Shonka, Melese Meleku Kuruche, Mohammed Suleiman Obsa, Sensitivity and Specificity of Difficult Airway Parameters at Asella Teaching and Referral Hospital, Oromia Regional State, Ethiopia, International Journal of Clinical and Experimental Medical Sciences. Vol. 6, No. 4, 2020, pp. 60-64. doi: 10.11648/j.ijcems.20200604.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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