<?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>1028-9933</journal-id>
<journal-title><![CDATA[Revista Información Científica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. inf. cient.]]></abbrev-journal-title>
<issn>1028-9933</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas Guantánamo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-99332020000100046</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Una vía para la predicción de una laringoscopia anatómicamente difícil]]></article-title>
<article-title xml:lang="en"><![CDATA[A way to predict an anatomically difficult laryngoscopy]]></article-title>
<article-title xml:lang="pt"><![CDATA[Uma maneira de prever uma laringoscopia anatomicamente difícil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Picrin-Dimont]]></surname>
<given-names><![CDATA[Jesús Deylis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega-González]]></surname>
<given-names><![CDATA[Isela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado-López]]></surname>
<given-names><![CDATA[Norvis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correoso-Bravo]]></surname>
<given-names><![CDATA[Marlenes de los Santos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Dr. Agostinho Neto&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<volume>99</volume>
<numero>1</numero>
<fpage>46</fpage>
<lpage>54</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332020000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332020000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332020000100046&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: En la valoración de dificultad para realizar la laringoscopia convencional no se realza la integración necesaria de aspectos clínicos esenciales relacionados con el control respiratorio.  Objetivo: Validar un modelo de predicción de una laringoscopia anatómicamente difícil en el paciente que requiere de intubación orotraqueal.  Método:  Se realizó un estudio analítico en una población de 17 966 pacientes con necesidad de laringoscopia directa para una intubación orotraqueal con fines quirúrgicos en el Hospital General Docente &#8220;Dr. Agostinho Neto&#8221; de Guantánamo entre el 2015 y el 2018. Se determinó por muestreo aleatorizado una muestra de 17 068 pacientes. Se estudiaron las siguientes variables: estigma periférico para laringoscopia difícil, laringoscopia difícil pos-inducción anestésico, evaluación laringoscópica según Cormack-Lehane, valor diagnóstico del modelo de evaluación predictiva para laringoscopia.  Resultados: Los altos grados en la clasificación de aspectos clínicos predictivos y la coexistencia con la alteración morfológica de la epiglotis fueron los marcadores más asociados con la probabilidad de laringoscopia anatómicamente difícil. Con la integración de cuatros aspectos clínicos esenciales se identificó el grado de dificultad probable para visualizar las cuerdas vocales.  Conclusiones: Se diseñó un modelo que posibilitó la predicción de una laringoscopia anatómicamente difícil, cuya validación certificó su viabilidad para aplicarlo en la práctica médica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In assessing the difficulty of performing conventional laryngoscopy, the necessary integration of essential clinical aspects related to respiratory control is not enhanced.  Objective:  To validate a prediction model of an anatomically difficult laryngoscopy in the patient that requires orotracheal intubation.  Method:  An analytical study was carried out in a population of 17,966 patients in need of direct laryngoscopy for an orotracheal intubation for surgical purposes at the General Teaching Hospital "Dr. Agostinho Neto&#8221; from Guantanamo between 2015 and 2018. A sample of 17,068 patients was determined by randomized sampling. The following variables were studied: peripheral stigma for difficult laryngoscopy, difficult laryngoscopy after anesthetic induction, laryngoscopic evaluation according to Cormack-Lehane, diagnostic value of the predictive evaluation model for laryngoscopy.  Results:  The high degrees in the classification of predictive clinical aspects and the coexistence with the morphological alteration of the epiglottis were the markers most associated with the probability of anatomically difficult laryngoscopy. With the integration of four essential clinical aspects, the degree of probable difficulty in visualizing the vocal cords was identified.  Conclusions:  A model was designed that allowed the prediction of an anatomically difficult laryngoscopy, whose validation certified its feasibility to apply it in medical practice.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  Na avaliação da dificuldade na realização da laringoscopia convencional, a integração necessária dos aspectos clínicos essenciais relacionados ao controle respiratório não é aprimorada.  Objetivo:  Validar um modelo de previsão de uma laringoscopia anatomicamente difícil no paciente que necessita de intubação orotraqueal.  Método:  Foi realizado um estudo analítico em uma população de 17.966 pacientes com necessidade de laringoscopia direta para intubação orotraqueal para fins cirúrgicos no Hospital Geral de Ensino "Dr. Agostinho Neto&#8221; de Guantánamo entre 2015 e 2018. Uma amostra de 17.068 pacientes foi determinada por amostragem aleatória. Foram estudadas as seguintes variáveis: estigma periférico para laringoscopia difícil, laringoscopia difícil após indução anestésica, avaliação laringoscópica segundo Cormack-Lehane, valor diagnóstico do modelo de avaliação preditiva para laringoscopia.  Resultados:  Os altos graus na classificação dos aspectos clínicos preditivos e a coexistência com a alteração morfológica da epiglote foram os marcadores mais associados à probabilidade de laringoscopia anatomicamente difícil. Com a integração de quatro aspectos clínicos essenciais, foi identificado o grau de provável dificuldade na visualização das cordas vocais.  Conclusões:  Foi elaborado um modelo que permitia prever uma laringoscopia anatomicamente difícil, cuja validação atestava sua viabilidade de aplicá-la na prática médica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[modelo de evaluación predictiva]]></kwd>
<kwd lng="es"><![CDATA[laringoscopia difícil]]></kwd>
<kwd lng="es"><![CDATA[vía respiratoria difícil]]></kwd>
<kwd lng="en"><![CDATA[predictive evaluation model]]></kwd>
<kwd lng="en"><![CDATA[difficult laryngoscopy]]></kwd>
<kwd lng="en"><![CDATA[difficult airway]]></kwd>
<kwd lng="pt"><![CDATA[modelo de avaliação preditiva]]></kwd>
<kwd lng="pt"><![CDATA[laringoscopia difícil]]></kwd>
<kwd lng="pt"><![CDATA[via aérea difícil]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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