Romo GDR, López BAJ

Idioma: Español
Referencias bibliográficas: 24
Paginas: 15-18
Archivo PDF: 151.67 Kb.

RESUMEN

Introducción: Una de las principales preocupaciones del anestesiólogo es enfrentarse a una vía aérea difícil. Para predecir esto hay diferentes escalas que se realizan a la cabecera del paciente. Sin embargo, su valor predictivo es variable según la literatura y las escalas empleadas. Objetivo: Determinar la utilidad de un modelo clinimétrico formado por distintas escalas (IPID) para la predicción de intubación difícil. Material y métodos: Se incluyeron pacientes mayores de 18 años programados para cirugía bajo anestesia general e intubación orotraqueal con laringoscopia directa en el Hospital Ángeles Metropolitano durante un periodo de cuatro meses. Se realizaron las escalas IPID de Mallampati (EM), Patil-Aldrete (PA), distancia interincisivos (DII) y distancia esternomentoniana (DEM). Se obtuvo la correlación de Pearson contra la escala de Cormack-Lehane (CL). Resultados: Se obtuvo una n = 151 pacientes, con la relación CL/IPID (r = 0.54; p = 0.0001), CL/EM (r = 0.57; p = 0.0001), CL/PA (r = 0.24; p = 0.002), CL/DII (r = 0.53; p = 0.001) y CL/DEM (r = 0.33; p = 0.00002). Conclusión: Las escalas que forman el IPID resultan ser sensibles para predecir intubación difícil. En lo individual, la EM resultó ser la más sensible de las pruebas aplicadas, seguida de DII y DEM.

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