Prediction of difficult tracheal intubation

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Prediction and Management of Difficult Tracheal Intubation

There have been various attempts at defining what is meant by a difficult intubation. Repeated attempts at intubation, the use of a bougie or other intubation aid have been used in some papers, but perhaps the most widely used classification is by Cormack and Lehane [1] which describes the best view of the larynx seen at laryngoscopy (figure 1). This should be recorded in the patient’s notes wh...

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Prediction of difficult tracheal intubation: time for a paradigm change.

BACKGROUND It has been suggested that predicting difficult tracheal intubation is useless because of the poor predictive capacity of individual signs and scores. The authors tested the hypothesis that an accurate prediction of difficult tracheal intubation using simple clinical signs is possible using a computer-assist model. METHODS In a cohort of 1,655 patients, the authors analyzed the pre...

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Difficult tracheal intubation in obstetrics.

Difficult intubation has been classified into four grades, according to the view obtainable at laryngoscopy. Frequency analysis suggests that, in obstetrics, the main cause of trouble is grade 3, in which the epiglottis can be seen, but not the cords. This group is fairly rare so that a proportion of anaesthetists will not meet the problem in their first few years and may thus be unprepared for...

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Sevoflurane for difficult tracheal intubation.

Three patients in whom difficult tracheal intubation was expected but awake fibreoptic intubation was not feasible presented for head and neck surgery. Anaesthesia was induced rapidly and smoothly by inhalation of sevoflurane followed by fibreoptic or conventional tracheal intubation.

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[Difficult laryngoscopy and tracheal intubation: observational study].

INTRODUCTION Since anesthesia complications associated with unexpected difficult airway are potentially catastrophic, they should be avoided. The modified Mallampati test and jaw-thrust maneuver enable the identification of difficult airway. The aim of this study was to associate the modified Mallampati test and the jaw-thrust maneuver with laryngoscopy (Cormack-Lehane) in an attempt to identif...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1995

ISSN: 0007-0912

DOI: 10.1093/bja/74.2.243-a