IS RHTMD A NEW PREDICTOR FOR ASSESSMENT OF DIFFICULT INTUBATION IN NON-OBESE PATIENTS?
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 38
Abstract
BACKGROUND The recognition of difficult intubation during pre-operative check-up is very important for the anaesthesiologist. Various anatomical parameters assist in predicting difficult intubation. Till date, there are no predictors available to precisely assess the risk of difficult intubation, pre-operatively. Therefore, we aim to identify the adequacy of predictors for preoperative assessment of difficult intubation. MATERIALS AND METHODS After ethical approval of Institutional Ethics Committee, a total of 200 non-obese patients (Body mass index less than or equal to 30) were recruited in this prospective observational study after obtaining informed consent. Mouth Opening (MO), Modified Mallampati Grading (MMG), neck circumference (cm), Thyromental Distance (TM), Sternomental Distance (SM), Neck Movement (NM), Neck Circumference (NC) and Ratio of Height to Thyromental Distance (RHTMD) were measured pre-operatively. In each patient, validated Intubation Difficulty Score (IDS score) was assessed intraoperatively by the anaesthetist. All patients were divided into two groups on the basis of easy (IDS score < 5) and difficult intubation (IDS score ≥ 5). Multivariate logistic regression analysis including all variables was used to create a predictive model. RESULTS Laryngoscopy was difficult in 12.0% of the patients. The MO, MMG, NM, NC, TM, SM, NC/TM were significantly different in between easy and difficult intubation. The Area Under Curve (AUC) in ROC for the TM, SM, NC/TM, RHTMD and MPC were 0, 270, 0.138, 0.848, 0.807 and 0.699, respectively. Among all indices, NC/TM and RHTMD were found to have high sensitivity and specificity. NC/TM was showing maximum area under the curve on ROC curve (AUC) followed by RHTMD. CONCLUSION Among non-obese patients, NC/TMD ratio and RHTMD can be used for better predictor of difficult intubation, pre-operatively.
Authors and Affiliations
Mamta Harjai, Priyesh Bhaskar, Shobhit Saxena, Shivani Rastogi, Prithvi Kumar Singh
Keywords
Related Articles
- EP ID EP548051
- DOI 10.14260/jemds/2018/930
- Views 80
- Downloads 0
DIFFERENCES IN BODY MASS INDEX AND SERUM LIPID PROFILE AMONG VEGETARIANS & NON VEGETARIANS
To study the body mass index (BMI) and serum lipid profile in vegetarians compared to non-vegetarians. [b]MATERIALS AND METHODS[/b]: This is a cross sectional study designed to study the correlation of BMI and seru...
PREVALENCE OF PERIODONTAL DISEASE IN WOMEN WITH POLYCYSTIC OVARY SYNDROME- A COMPARATIVE DESCRIPTIVE STUDY
BACKGROUND Polycystic ovary syndrome (PCOS) is a common disorder affecting 4% to 12% of women of reproductive age. Increased production of steroid hormones is associated with increased gingival inflammation. Thus, the pr...
PREVALENCE OF COLOUR BLINDNESS AMONG SCHOOL CHILDREN IN MANDYA DISTRICT, KARNATAKA
BACKGROUND Many people suffer from colour blindness but most of them remain undetected. Hence screening at the level of school going age leads to early detection and helps in guiding them in studies and professional choi...
CORRELATION OF RADIOLOGICAL AND OPERATIVE FINDING REGARDING THE CELLULARITY OF MASTOID IN CHRONIC SUPPURATIVE OTITIS MEDIA (ATTICOANTRAL DISEASE)
BACKGROUND Chronic Suppurative Otitis Media (CSOM) is the most prevalent disease of middle ear which is characterised by inflammation of middle ear cleft, middle ear cavity, mastoid antrum and eustachian tube in which at...
CYTOLOGICAL EVALUATION OF METASTATIC MELANOMA- A SERIES OF 3 CASES
BACKGROUND Malignant melanoma is an aggressive tumour with a propensity to metastasize. We report a series of 3 cases, which presented with lymphadenopathy and cytological diagnosis of metastatic melanoma was made based...