Predicting difficult airways: 3-3-2 rule or 3-3 rule?

Irish Journal of Medical Science

Volumn 184, Issue 3, 2015, Pages 677-683

  Yu, T ^a   Wang, B ^a   Jin, X J ^a   Wu, R R ^a   Wu, H ^a   He, J J ^a   Yao, W D ^a   Li, Y H ^b  

^a WANNAN MEDICAL COLLEGE   (China)

^b ANHUI MEDICAL UNIVERSITY   (China)

Author keywords

3 3 rule; 3 3 2 rule; Airway assessment tests; Difficult airways; Difficult laryngoscopy; Difficult tracheal intubation; General anesthesia

Indexed keywords

ADULT; AIRWAY; ANESTHESIA INDUCTION; ARTICLE; DIFFICULT AIRWAY; DIFFICULT INTUBATION; DIFFICULT LARYNGOSCOPY; ENDOTRACHEAL INTUBATION; FEMALE; GENERAL ANESTHESIA; HUMAN; LARYNGOSCOPY; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; PREDICTION; PREDICTIVE VALUE; PROSPECTIVE STUDY; RESPIRATORY TRACT EXAMINATION; RESPIRATORY TRACT PARAMETERS; ADOLESCENT; AGED; MIDDLE AGED; PATHOLOGY; PREOPERATIVE CARE; PROCEDURES; RESPIRATION CONTROL; RISK FACTOR; THYROID CARTILAGE;

ADOLESCENT; ADULT; AGED; AIRWAY MANAGEMENT; ANESTHESIA, GENERAL; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; LARYNGOSCOPY; MALE; MIDDLE AGED; PREOPERATIVE CARE; PROSPECTIVE STUDIES; RISK FACTORS; THYROID CARTILAGE;

EID: 84940439194     PISSN: 00211265     EISSN: 18634362     Source Type: Journal    
DOI: 10.1007/s11845-015-1276-7     Document Type: Article

References (26)

1. Cook TM, MacDougall-Davis SR (2012) Complications and failure of airway management. Br J Anaesth 109(Suppl 1):i68–i85
2. Levitan RM, Everett WW, Ochroch EA (2004) Limitations of difficult airway prediction in patients intubated in the emergency department. Ann Emerg Med 44(4):307–313
3. Nolan JP, Kelly FE (2011) Airway challenges in critical care. Anaesthesia 66(Suppl 2):81–92
4. Rocke DA, Murray WB, Rout CC et al (1992) Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia. Anesthesiology 77(1):67–73
5. Khan ZH, Kashfi A, Ebrahimkhani E (2003) A comparison of the upper lip bite test (a simple new technique) with modified Mallampati classification in predicting difficulty in endotracheal intubation: a prospective blinded study. Anesth Analg 96(2):595–599
6. Khan ZH, Mohammadi M, Rasouli MR et al (2009) The diagnostic value of the upper lip bite test combined with sternomental distance, thyromental distance, and interincisor distance for prediction of easy laryngoscopy and intubation: a prospective study. Anesth Analg 109(3):822–824
7. Mallampati SR, Gatt SP, Gugino LD et al (1985) A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J 32(4):429–434
8. Wilson ME, Spiegelhalter D, Robertson JA et al (1988) Predicting difficult intubation. Br J Anaesth 61(2):211–216
9. Apfelbaum JL, Hagberg CA, Caplan RA et al (2013) Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 118(2):251–270
10. Shiga T, Wajima Z, Inoue T et al (2005) Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology 103(2):429–437
11. Lundstrom LH, Vester-Andersen M, Moller AM et al (2011) Poor prognostic value of the modified Mallampati score: a meta-analysis involving 177 088 patients. Br J Anaesth 107(5):659–667
12. Reed MJ, Dunn MJ, McKeown DW (2005) Can an airway assessment score predict difficulty at intubation in the emergency department. Emerg Med J 22(2):99–102
13. Reed MJ, Rennie LM, Dunn MJ et al (2004) Is the ‘LEMON’ method an easily applied emergency airway assessment tool. Eur J Emerg Med 11(3):154–157
14. Mahmoodpoor A, Soleimanpour H, Nia KS et al (2013) Sensitivity of palm print, modified Mallampati score and 3-3-2 rule in prediction of difficult intubation. Int J Prev Med 4(9):1063–1069
15. Reed MJ, Dunn MJ, McKeown DW (2005) Can an airway assessment score predict difficulty at intubation in the emergency department. Emerg Med J 22(2):99–102
16. Mallampati SR, Gatt SP, Gugino LD et al (1985) A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J 32(4):429–434
17. Samsoon GL, Young JR (1987) Difficult tracheal intubation: a retrospective study. Anaesthesia 42(5):487–490
18. Khan ZH, Mohammadi M, Rasouli MR et al (2009) The diagnostic value of the upper lip bite test combined with sternomental distance, thyromental distance, and interincisor distance for prediction of easy laryngoscopy and intubation: a prospective study. Anesth Analg 109(3):822–824
19. Cormack RS, Lehane J (1984) Difficult tracheal intubation in obstetrics. Anaesthesia 39(11):1105–1111
20. Mahmoodpoor A, Soleimanpour H, Nia KS et al (2013) Sensitivity of palm print, modified mallampati score and 3-3-2 rule in prediction of difficult intubation. Int J Prev Med 4(9):1063–1069
21. Reed MJ, Dunn MJ, McKeown DW (2005) Can an airway assessment score predict difficulty at intubation in the emergency department. Emerg Med J 22(2):99–102
22. Inal MT, Memis D, Sahin SH et al (2014) Comparison of different tests to determine difficult intubation in pediatric patients. Braz J Anesthesiol 64(6):391–394
23. Honarmand A, Safavi M, Ansari N (2014) A comparison of between hyomental distance ratios, ratio of height to thyromental, modified Mallamapati classification test and upper lip bite test in predicting difficult laryngoscopy of patients undergoing general anesthesia. Adv Biomed Res. 3:166
24. Adhikari S, Zeger W, Schmier C et al (2011) Pilot study to determine the utility of point-of-care ultrasound in the assessment of difficult laryngoscopy. Acad Emerg Med 18(7):754–758
25. Huh J, Shin HY, Kim SH et al (2009) Diagnostic predictor of difficult laryngoscopy: the hyomental distance ratio. Anesth Analg 108(2):544–548
26. Lundstrom LH, Vester-Andersen M, Moller AM et al (2011) Poor prognostic value of the modified Mallampati score: a meta-analysis involving 177 088 patients. Br J Anaesth 107(5):659–667