Copyright c Korean Society of Anesthesiologists, 2009 Background: Unanticipated difficulties during tracheal intubation are related to perioperative morbidity and mortality, but the success of direct laryngoscopic intubation depends largely on clinician’s experience and the upper airway anatomy. The lightwand was introduced as alternative intubation technique, but the indicators of difficult li...

conclusions our study revealed weak correlation between pe/e-vc and cormack-lehane grade, with 87% sensitivity and 30% specificity. therefore, we concluded that sonographic measurement criteria are not accurate in airway evaluations before anesthesia. results it was observed that correlations between the pre-epiglottic space (pe) and cormack-lehane grades i, ii, and iii were weak. correlations ...

This study aims to compare the hemodynamic responses to endotracheal intubation performed with direct and video laryngoscope in patients scheduled for cardiac surgery and to assess the airway and laryngoscopic characteristics. One hundred ten patients were equally allocated to either direct Macintosh laryngoscope (n = 55) or indirect Macintosh C-MAC video laryngoscope (n = 55). Systolic, diasto...

The original and modified Mallampati tests are commonly used to predict the difficult airway, but there is controversy regarding their accuracy. We searched MEDLINE and other databases for prospective studies of patients undergoing general anesthesia in which the results of a preoperative Mallampati test were compared with the subsequent rate of difficult airway (difficult laryngoscopy, difficu...

BACKGROUND Difficult and failed intubations, although rarely encountered, are major causes of morbidity and mortality in the current anaesthetic practice. To reduce the incidence of difficult and failed intubations, several devices including the recently developed videolaryngoscopes are available. This randomized controlled study aims to compare the use of the McGrath videolaryngoscope with the...

The patient had frontal bossing, micrognathia, depressed nasal bridge, high‐arched palate, multiple impacted supernumerary teeth [Figure 1], barrel‐shaped chest, cup‐shaped distal phalanges and down‐curving nails. Mouth opening was adequate but Mallampati airway grade (MP) was indeterminate. Height (135 cm) was less than 3rd percentile and weight (30 kg) was 10th percentile for her age. She had...

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...

BACKGROUND Failure to maintain a patent airway can result in brain damage or death. In patients with mandibular prognathism or retrognathism, intubation is generally thought to be difficult. We determined the degree of difficulty of airway management in patients with mandibular deformity using anatomic criteria to define and grade difficulty of endotracheal intubation with direct laryngoscopy. ...

The TruView EVO2 laryngoscope was compared with the traditional Macintosh laryngoscope in 200 patients who required tracheal intubation for elective surgery. Mallampati score determined prior to laryngoscopy was significantly related to the view of the glottis during laryngoscopy for both laryngoscopes. The view of the larynx was better with the TruView EVO2 laryngoscope than with the Macintosh...

AIM To determine the accuracy of the modified Mallampati test for predicting difficult tracheal intubation. DESIGN A cross-sectional, clinical, observational, non-blinded study. A quality analysis of anesthetic care. SETTING Operating theatres and department of anesthesiology in a university hospital. MATERIAL AND METHODS Following the local ethics committee approval and patients' informe...