Airway management

Deep learning‐based facial analysis for predicting difficult videolaryngoscopy: a feasibility study

AnaesthesiaPublished Diagnostic accuracy study

Authors' conclusion

Artificial intelligence-based facial analysis is a feasible technique for predicting difficulty during videolaryngoscopy, and the model developed using neural networks has higher predictive performance than traditional methods.

Study context

Population
Patients undergoing videolaryngoscopy for tracheal intubation514 difficult videolaryngoscopy
Participants
5,849 patients
Comparison
AI facial model vs bedside examination and multivariate scores
Outcome
Difficult videolaryngoscopy (Cormack-Lehane grade 3 or 4)
Methodological detailsfeasibility study, deep learning (ResNet-18), machine learning prediction model
  • Feasibility study
  • Deep learning (ResNet-18)
  • Machine learning prediction model

Performance

As reported in the abstract

Prediction of difficult videolaryngoscopy (test set)
Test or modelAUC (95% CI 0.733-0.825)Sensitivity (95% CI 0.650-0.845)Specificity (95% CI 0.626-0.794)
Facial model0.7790.7570.721

Facial model

AUC (95% CI 0.733-0.825)0.779
Sensitivity (95% CI 0.650-0.845)0.757
Specificity (95% CI 0.626-0.794)0.721
  • Facial model vs Bedside examination and multivariate scores (El-Ganzouri and Wilson): P < 0.001 — significantly higher with facial model

Original publication

Deep learning‐based facial analysis for predicting difficult videolaryngoscopy: a feasibility study. Anaesthesia. Published 13 December 2023. doi:10.1111/anae.16194

Composed by AI from the published abstract and checked against it. How Briefs are made →

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