Gargle Test for Successful Extubation in Critically Ill Patients Underwent Head and Neck Surgeries: A New Test

Gargle Test for Successful Extubation in Critically Ill Patients Underwent Head and Neck Surgeries: A New Test Publisher

Beigmohammadi MT^{1, 2} ; Amoozadeh L¹ ; Alipour A³

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1. Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
2. Research Center for War-affected People, Tehran University of Medical Sciences, Tehran, Iran
3. Community Medicine Department, Medical Faculty, Mazandaran University of Medical Sciences, Sari, Iran

Source: Annals of Medicine and Surgery Published:2022

Abstract

Background: Improvement of predictive tools for recognition of airway edema is crucial for safe extubation and patient safety. This study aimed to evaluate the diagnostic accuracy of the Gargle test (GT) as a new test for assessing airway edema and predicting successful extubation in patients admitted to the intensive care unit (ICU). Method: In this prospective observational study, patients underwent head and neck surgeries and admitted to ICU included. All the patients were weaned based on the same protocol.Quantitative Cuff Leak Test (CLT) and qualitative CLTwere first applied followed by GT with normal saline 0.9%. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated. Results: One hundred and eighteen (male 67, female 51) participated in this study. The agreement between GT and CLT was low (Kappa: quantitative CLT 0.07, qualitative CLT 0.21). The GT compared to CLT had higher sensitivity (33.3% vs 16.6%), specificity (96.3% vs qualitative CLT 92.8%, quantitative CLT 79.4%), PPV (33.3% vs qualitative CLT 11.11%, quantitative CLT 4.0%), NPV (96.3% vs qualitative CLT 95.4%, quantitative CLT 94.6%), and accuracy (92.92% vs qualitative CLT 88.98%, quantitative CLT 76.27%. The cut-off value for GT was estimated 16.5% (sensitivity 74.1% and specificity 60%). Conclusion: The GT is a simple accurate test and can be used as a new test in the ICU for recognition of airway edema and prediction of safe extubation in patients with head and neck surgeries. © 2022 The Authors

Style	Citing Format
MLA	Beigmohammadi MT, Amoozadeh L, Alipour A. "Gargle Test for Successful Extubation in Critically Ill Patients Underwent Head and Neck Surgeries: A New Test." Annals of Medicine and Surgery, vol. 82, no. , 2022, pp. -.
APA	Beigmohammadi MT, Amoozadeh L, Alipour A (2022). Gargle Test for Successful Extubation in Critically Ill Patients Underwent Head and Neck Surgeries: A New Test. Annals of Medicine and Surgery, 82(), -.
Chicago	Beigmohammadi MT, Amoozadeh L, Alipour A. "Gargle Test for Successful Extubation in Critically Ill Patients Underwent Head and Neck Surgeries: A New Test." Annals of Medicine and Surgery 82, no. (2022): -.
Harvard	Beigmohammadi MT, Amoozadeh L, Alipour A (2022) 'Gargle Test for Successful Extubation in Critically Ill Patients Underwent Head and Neck Surgeries: A New Test', Annals of Medicine and Surgery, 82(), pp. -.
Vancouver	Beigmohammadi MT, Amoozadeh L, Alipour A. Gargle Test for Successful Extubation in Critically Ill Patients Underwent Head and Neck Surgeries: A New Test. Annals of Medicine and Surgery. 2022;82():-.
BibTex	@article{ author = {Beigmohammadi MT and Amoozadeh L and Alipour A}, title = {Gargle Test for Successful Extubation in Critically Ill Patients Underwent Head and Neck Surgeries: A New Test}, journal = {Annals of Medicine and Surgery}, volume = {82}, number = {}, pages = {-}, year = {2022} }
RIS	TY - JOUR AU - Beigmohammadi MT AU - Amoozadeh L AU - Alipour A TI - Gargle Test for Successful Extubation in Critically Ill Patients Underwent Head and Neck Surgeries: A New Test JO - Annals of Medicine and Surgery VL - 82 IS - SP - EP - PY - 2022 ER -

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Abstract