| Autor: |
رضا اینالو, علیرضا یوسفی, مهنیا ترابی خواه, نوید کالنی, رضا صحرایی |
| Předmět: |
|
| Zdroj: |
Pars Journal of Medical Sciences; Jun2023, Vol. 21 Issue 1, p1-8, 8p |
| Abstrakt: |
Preoperative evaluation by considering anatomical signs and clinical factors related to difficult airway is important in patients with possible difficult airway. One of the available methods for pre-anesthesia evaluation and prediction of difficult airway is the Malampathi test. The purpose of this study is to investigate the changes of Malampathi score before and after nephrolithotripsy surgery with spinal anesthesia. Methods: This descriptive and analytical study was conducted on 162 patients referred to Peymaniyeh Hospital in Jahrom city in 2019. The level of sensory block was calculated using the alcohol test (heat and cold) and pain palpation using a slow needle. The level of movement block was measured using the patient's strength in moving legs, knees and hips. Malampati test was evaluated before surgery and during recovery. Data analysis was done using SPSS version 21 software and descriptive statistics (mean, standard deviation, frequency and percentage) and inferential statistical tests (Wilcoxon, analysis of variance with repeated measures), at a significance level of P<0.05. Results: The average age of the patients was 49.10±12.88 and the average duration of the operation was 19.80±6.50. The changes of Malampathi score before and after nephrolithotripsy surgery with spinal anesthesia were significant compared to before surgery (p=0.001). The result that the changes in upper lip biting after nephrolithotripsy surgery with spinal anesthesia were significant compared to before surgery (p=0.001). Conclusion: In this study, the two tests of Malampati have confirmed the changes in the airway class according to the Peron position in nephrolithotripsy patients. Therefore, by knowing the effective causes of such changes, these changes can be minimized so that the extubation process of patients is more successful and the complications of these changes bring less problems for the patient and the treatment stagg [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
