<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092024000800659</article-id>
<article-id pub-id-type="doi">10.35366/120012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Predicción de vía aérea difícil a través de escalas clínicas versus ultrasonográficas]]></article-title>
<article-title xml:lang="en"><![CDATA[Prediction of difficult airway by clinical versus ultrasonographic scales]]></article-title>
<article-title xml:lang="pt"><![CDATA[Previsão da via aérea difícil através de escalas clínicas versus escalas ultra-sonográficas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes Mendoza]]></surname>
<given-names><![CDATA[Hernán Abi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montelongo]]></surname>
<given-names><![CDATA[Felipe de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tapia Velasco]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galindo Ayala]]></surname>
<given-names><![CDATA[Jonathan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera Morales]]></surname>
<given-names><![CDATA[Blanca Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nava López]]></surname>
<given-names><![CDATA[Jorge Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Herrera]]></surname>
<given-names><![CDATA[Martín Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Instituto de Salud del Estado de México Hospital General Las Américas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Universidad Autónoma del Estado de México Hospital General de Zona 197]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Regional 196 ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Materno de Celaya  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>8</numero>
<fpage>659</fpage>
<lpage>663</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000800659&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000800659&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000800659&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Este estudio prospectivo evalúa la exactitud diagnóstica de las pruebas clínicas frente a las ultrasonográficas para predecir vía aérea difícil en 63 pacientes programados para cirugía general. A través de escalas o pruebas convencionales como Mallampati, que es el estándar de oro, y mediciones ultrasonográficas como la medición hiomental en posición neutra, medición de piel a hueso hioides, piel a epiglotis y piel a cuerdas vocales, para determinar la sensibilidad y especificidad de cada escala. Los resultados indican que las pruebas ultrasonográficas presentan alta especificidad (92%), pero baja sensibilidad (20.15%) en comparación con las pruebas clínicas, lo que sugiere que, aunque la efectividad de estas pruebas es baja para predecir vía aérea difícil por sí solas, deben complementar las evaluaciones tradicionales en lugar de sustituirlas. Se concluye que la combinación de ambos métodos podría mejorar la capacidad de predicción de vía aérea difícil en la práctica clínica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: This prospective study evaluates the diagnostic accuracy of clinical versus ultrasonographic tests for predicting difficult airway in 63 patients scheduled for general surgery. Through scales or conventional tests such as Mallampati which is gold standard and ultrasonographic measurements such as hiomental measurement in neutral position, skin to hyoid bone measurement, skin to epiglottis and skin to vocal cords and determine the sensitivity and specificity of each scale. The results indicate that ultrasonographic tests have high specificity (92%) but low sensitivity (20.15%) compared to clinical tests, suggesting that, although the effectiveness of these tests is low for predicting difficult airway alone, they should complement traditional evaluations rather than replace them. Concluding that the combination of both methods could improve the ability to predict difficult airway in clinical practice.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Este estudo prospectivo avalia a precisão diagnóstica de testes clínicos versus testes ultra-sonográficos para prever vias aéreas difíceis em 63 pacientes agendados para cirurgia geral. Através de escalas ou testes convencionais, como o de Mallampati, que é o padrão-ouro, e de medições ultra-sonográficas, como a medição hiomental em posição neutra, a medição da pele ao osso hióde, da pele à epiglote e da pele às cordas vocais, e determinar a sensibilidade e a especificidade de cada escala. Os resultados indicam que os testes ultrassonográficos apresentam alta especificidade (92%), mas baixa sensibilidade (20.15%) em comparação aos testes clínicos, sugerindo que, embora a eficácia desses testes seja baixa na predição isolada de via aérea difícil, eles deveriam complementar as avaliações tradicionais em vez de substituí-las. Concluindo que a combinação dos dois métodos poderia melhorar a capacidade de prever vias aéreas difíceis na prática clínica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[vía aérea difícil]]></kwd>
<kwd lng="es"><![CDATA[Mallampati]]></kwd>
<kwd lng="es"><![CDATA[ultrasonografía]]></kwd>
<kwd lng="en"><![CDATA[difficult airway]]></kwd>
<kwd lng="en"><![CDATA[Mallampati]]></kwd>
<kwd lng="en"><![CDATA[ultrasonography]]></kwd>
<kwd lng="pt"><![CDATA[via aérea difícil]]></kwd>
<kwd lng="pt"><![CDATA[Mallampati]]></kwd>
<kwd lng="pt"><![CDATA[ultra-sonografia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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