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LETTER TO THE EDITOR

The Reliability and Validity of the Upper Lip Bite Test Compared with the Mallampati Classification to Predict Difficult Laryngoscopy

Department of Anesthesia, Tehran University of Medical Sciences, Tehran, Iran, khanzh51{at}yahoo.com

To the Editor:

The reliability and validity of Upper Lip Bite Test (1) was recently compared with the Mallampati classification to predict difficult laryngoscopy (2). A recent article by Eberhart et al. states that in our prior study (1) "only two experienced residents in anesthesiology at their last year of clinical education performed the intubations," based on a personal statement of my colleague, Dr. Arash Kashfi.

Dr. Kashfi is either being misquoted or misinterpreted. Our methods state that assessment of the difficulty of laryngoscopy and intubation was entirely and exclusively conducted by blinded certified anesthesiologists (1) and not by residents in training as reported by Eberhart et al. (2).

Recent data go further than either our first article or the study by Eberhart et al. and suggest that the Upper Lip Bite Test can be associated with other tests to better predict the difficulty of intubation (3).

Footnotes

Dr. Eberhart does not wish to respond.

References

1. Khan ZH, Kashfi A, Ebrahimkhani E. 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 2003;96:595–9.[Abstract/Free Full Text]
2. Eberhart LH, Arndt C, Cierpka T, et al. The reliability and validity of the Upper Lip Bite Test Compared with the Mallampati classification to predict difficult laryngoscopy: an external prospective evaluation. Anesth Analg 2005;101:284–9.[Abstract/Free Full Text]
3. Richa F, Yazbeck P, Yazigi A, et al Value of the association of the Upper Lip Bite Test (ULBT) with other tests in predicting difficulty of endotracheal intubation. Presented at the 2005 Annual Meeting of the American Society of Anesthesiologists, October 22–25, 2005, Atlanta, Georgia. Abstract A1418. Available at: http://www.asaabstracts.com/strands/asaabstracts/abstractList.htm;jsessionid=1120FC01DEE6F0C71E872E36D07D3F14?year=2005&index=16.

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This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Khan, Z. H. Articles by Arbabi, S. Search for Related Content PubMed PubMed Citation Articles by Khan, Z. H. Articles by Arbabi, S.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999