Assessment of Tracheal Intubation Grading

نویسندگان

  • Mir Mahmud Hossain
  • Moniul Hossain
  • AKM Akhtaruzzaman
  • Kazi Mesbahuddin Iqbal
چکیده

In this prospective study, one hundred adult patients, fifty in each group were assessed before operation, using the modified mallampati test in Group-A and mallampati & measurement of Thyromental Distance (TMD) in Group-B. The groups were matched for age (P=0.539), Sex (P=0.688), weight (P=0.077), and ASA physical status (P=0.436). Total number of patients facing difficulties during intubation are significantly higher in the Group-A (18 in Group-A and 10 in Group-B) (p =0.001). The measured sensitivity and specificity in Group-A are 65% and 25% respectively. On the other hand, the sensitivity, specificity in Group-B are 75% & 60%. So, the combination of Thyromental Distance and Mallampati test may be done as screening test during preoperative visit which may present fatal consequences of difficult and or failed intubation.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A comparative Study of Tracheal Intubation through i-gel® and Intubating

In this prospective randomized study, success rate of blind tracheal intubation through two different supraglottic airway devices viz. i-gel ® and the intubating laryngeal mask airway (ILMA)® was compared a using conventional polyvinylchloride endotracheal tubes. Eighty patients undergoing elective surgery under general anaesthesia were randomized in two groups comprising of 40 patients each to...

متن کامل

بازنگری طبقه‌بندی راه‌هوایی به‌روش Cormack و Lehane با توجه ویژه بر یافته‌های گرید ΙΙ

Background: The major responsibility of an anesthesiologist is to provide adequate respiration for the patient. The most vital element in providing functional respiration is the airway. No anesthetic is safe unless diligent efforts are devoted to maintaining an intact functional airway. Difficult intubation had been classified into four grades, according to the view obtainable at laryngoscopy b...

متن کامل

Effects of remifentanil and alfentanil on cardiovascular responses to tracheal intubation

Introduction: Laryngoscopy and tracheal intubation necessitate to start a surgery and induction of general anesthesia as well as the maintenance of the air way and to provide ventilation. However, Laryngoscopy and tracheal intubation may lead to hemodynamic response that appear with the symptoms of hypertension tachycardia, arrhythmia and myocardial ischemia and results in myocardial infarction...

متن کامل

Assessment of Truflex™ articulating stylet versus conventional rigid Portex™ stylet as an intubation guide with the D-blade of C-Mac™ videolaryngoscope during elective tracheal intubation: study protocol for a randomized controlled trial

BACKGROUND A variety of videolaryngoscopes with angulated blade have been recently introduced into clinical practice. They provide an indirect view of the glottic structures in normal and challenging clinical settings. Despite the very good visualization of the laryngeal structures by these devices, the insertion and advancement of the endotracheal tube may be prolonged and occasionally fail as...

متن کامل

صدمات ناشی از لوله گذاری طولانی مدت بر نای و حنجره

Background: Prolonged endotracheal intubation is a growing method for supporting ventilation in patients who require intensive care. Despite considerable advancement in endotracheal intubation, this method still has some complications the most important is laryngo-tracheal injuries.                    Methods: Over a 2-year period, this retrospective study was conducted on 57 patients with hist...

متن کامل

A comparison of the upper lip bite test with hyomental/thyrosternal distances and mandible length in predicting difficulty in intubation: A prospective study

The incidence of difficulty in tracheal intubation has been reported to range from 0.5 to 18% in patients undergoing surgery. We aimed to elucidate the role of upper lip bite test (ULBT) with other prevailing tests, hyomental/thyrosternal distances (HMD/TSD), and the mandible length (ML) and their possible correlation in predicting difficulty in intubation. After institutional approval and info...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2009