Predicting difficult airway in apparently normal adult and pediatric patients.
| Title: | Predicting difficult airway in apparently normal adult and pediatric patients. |
|---|---|
| Authors: | Shirgoska B; University Ear, Nose and Throat Clinic, Medical Faculty, Ss. Cyril and Methodius University, Skopje, R. Macedonia.; Netkovski J |
| Source: | Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) [Pril (Makedon Akad Nauk Umet Odd Med Nauki)] 2013; Vol. 34 (1), pp. 155-9. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Makedonska akademija na naukite i umetnostite Country of Publication: North Macedonia NLM ID: 101677081 Publication Model: Print Cited Medium: Print ISSN: 1857-9345 (Print) Linking ISSN: 18579345 NLM ISO Abbreviation: Pril (Makedon Akad Nauk Umet Odd Med Nauki) Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Skopje : Makedonska akademija na naukite i umetnostite, [2013]- |
| MeSH Terms: | Decision Support Techniques*; Intubation, Intratracheal/*adverse effects ; Larynx/*anatomy & histology ; Oropharynx/*anatomy & histology; Adolescent ; Adult ; Age Factors ; Child ; Child, Preschool ; Humans ; Infant ; Infant, Newborn ; Laryngoscopy ; Predictive Value of Tests ; Risk Assessment ; Risk Factors |
| Abstract: | Unlabelled: The aim of the study was to determine the predicting tests for difficult airway and difficult intubation in apparently normal patients.; Methods: We were using the literature about the specific tests for predicting difficult airway and single parameters that could be a significant test for prediction of difficult or impossible intubation. Clinical risk factors for difficult intubation in pediatric patients are related to the anatomic differences between pediatric patients and adults. Quantitative evaluation of difficult intubations could be realized using Cormack-Lehane (CL) scale and Mallampati score (without speaking--Mallampati test--and modified Mallampati test during speech). The Cormack-Lehane (CL) scale is a grading system commonly used to describe the view of the larynx during direct laryngoscopy. Grades 3 and 4, in which the glottis is not visualized, are considered difficult intubations. The Mallampati score, estimates the size of the tongue relative to the oral cavity and the ability to open the mouth. This system graded the patient (grades 1 to 4) based on the structures visible in the oropharynx with maximal mouth opening. Grade 3 or 4 suggests a significant chance that the patient will be difficult to intubate.; Results: Our results showed that 24 patients (20 adult patients and 4 pediatric patients), 3.2% from total of 750 involved in the study had difficult intubation (Mallampati grades 3 and 4). 35% of the patients had impaired glottis exposure (grades 3 and 4 of the Cormack-Lehane scale).; Conclusion: We used only two criteria for describing both the visibility of the oropharyngeal structures and the quality of the laryngeal view. The effective and reliable prediction requires a combination of several parameters (BMI, head and neck movement, dentition status, upper lip bite test, interincisor gap and thyromental distance). |
| Entry Date(s): | Date Created: 20130807 Date Completed: 20160408 Latest Revision: 20220408 |
| Update Code: | 20260130 |
| PMID: | 23917749 |
| Database: | MEDLINE |
Journal Article