PREDICTABILITY OF DIFFICULT LARYNGOSCOPY AND INTUBATION USING THE CLINICAL AND RADIOLOGICAL IMAGING STUDY- A RANDOMISED CONTROL STUDY
English

Sivaraj Patchaiappan, Sudhakaran D
2017 Journal of Evidence Based Medicine and Healthcare  
BACKGROUND Airway management is of prime importance to the anaesthesiologists. Unanticipated difficult laryngoscopy and endotracheal intubation remains a primary concern for the anaesthesiologists. The reported incidence of a difficult laryngoscopy or endotracheal intubation varies from 1.5% to 13% in patients undergoing surgery. Failure to intubate is detected in 0.05-0.35% of the patients. Thus, preoperative airway assessment is of pivotal importance for the anaesthesiologist to predict
more » ... st to predict difficult intubation. The aim of the study is to study the usefulness of two different airway assessment predictors, a clinical and radiological tool to predict difficult intubation. MATERIALS AND METHODS Two hundred and eight patients in the age group of 15-75 years of either sex were included in the study. We assessed the clinical variable: modified Mallampati classification and radiological variable: the atlanto-occipital distance, in all the patients. Patients with tumours or malformations of head and neck and oral cavity, edentulous patients, pregnant patients and those requiring emergency surgeries were excluded. A Cormack-Lehane grade of I and II were considered as easy intubation and III and IV were considered as difficult intubation.
doi:10.18410/jebmh/2017/962 fatcat:kxhybap7jvbnxns25vsepu7bri