Apert syndrome is a type of acrocephalosyndactilia that consists of craniofacial synostosis, midface hypoplasia and syndactyly, with an autosomal dominant inheritance pattern. During anesthesia, difficult intubation and ventilation may be observed because of abnormal airways. In one of our patients, visceral anomalies, such as esophageal stricture and post-strictural dilatation, may cause respi...

Objective: Mallampati scoring is the most common examination method for predicting possible intubation problems. The purpose of this study is to investigate the relationship of facial anthropometric measurements with the modified Mallampati score (MMS). Material and Methods: The study population consisted of 153 male and 170 female volunteers (mean ages, 48,9±16,9 and 44,1±15,4 years, respectiv...

THE Mallampati classification is a rough estimate of the tongue size relative to the oral cavity. Although the single usage of the Mallampati classification has limited discriminative power for difficult tracheal intubation, it is a simple, reproducible, and reliable preanesthetic airway assessment method when performed properly. In addition to difficult tracheal intubation, Mallampati class 3 ...

The modified Mallampati score is used to predict difficult tracheal intubation. We have conducted a meta-analysis of published studies to evaluate the Mallampati score as a prognostic test. A total of 55 studies involving 177 088 patients were included after comprehensive electronic and manual searches. The pooled estimates from the meta-analyses were calculated based on a random-effects model ...

Methods. Mallampati class was evaluated at four time intervals in 87 pregnant patients: during the 8th month of pregnancy (T1), placement of epidural catheter (T2), 20 min after delivery (T3), and 48 h after delivery (T4). Factors such as gestational weight gain, duration of first and second stages of labour, and i.v. fluids administered during labour were evaluated for their predictive value. ...

OBJECTIVE To identify compliance with the procedures for securing the airway of patients submitted to anesthesia, defined as highly recommended in the World Health Organization Surgical Safety Checklist. METHODS A prospective, cross-sectional, observational study was conducted with 87 patients aged 18 to 60 years, classified as ASA grade 1 or 2 according to the American Society of Anesthesiol...

BACKGROUND AND OBJECTIVES The concern of facing difficult airways brought the need of developing predictive testing for difficult intubation. Those tests were developed primarily for adult populations. In pediatric patients studies always focus on patients with congenital malformation, polytraumatized, and newborns. The objective of the present study was to determine the applicability of the pr...

Background: Although essential before surgery, in-lab polysomnography and in-hospital sleep studies cannot be done indiscriminately for all patients with potential diagnosis of obstructive sleep apnea (OSA). Some clinical parameters may be used to select patients for these studies, thus increasing their cost-effectiveness. Objective: Studying the relationship of body mass index (BMI), modified ...

OBJECTIVE To assess magnitude and predisposing factors of difficult airway during induction of general anaesthesia. METHODS Hospital based cross sectional study carried out to determine the incidence of difficult mask ventilation, difficult laryngoscopy (Cormack and Lehane III and IV), difficult intubation (IDS ≥ 5), and failed intubation. The association between each predisposing factor and ...