Prospective Single Blinded Study Of Six Airway Assessment Tests Compared Individually With Cormack & Lehane Score In Predicting Difficult Intubation
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Problem of unanticipated difficult intubation is worldwide and search continues for tests that are reliable, accurate & rapid to predict difficult intubation. Our aim was to compare the ability to predict difficult intubation from six preoperative airway tests- Upper lip bite test, Modified Mallampati, Interincisor gap, Head & Neck movements, Thyromental distance, Ratio of height to Thyromental distance, compared individually & to confirm the same with Cormack Lehane score for difficult intubation. Airway was assessed in preanesthetic checkup using these six tests by the principle investigator & anesthesiologist assessing glottic exposure was blinded from the preoperative test results. Sensitivity, specificity, positive & negative predictive values & accuracy of each tests was calculated. Statistical significance was compared using Kappa statistics & p value <0.05 was considered significant. All the tests were significant, of which Modified Mallampati showed maximum agreement with gold standard Cormack Lehane score. However, a combination of tests in parallel is more sensitive and has higher predictivity than single tests alone.
Authors and Affiliations
Dr Dipin UR, Dr Shirley Ann D Souza, Dr Safna CT
Keywords
Related Articles
- EP ID EP395544
- DOI 10.9790/0853-1709130104.
- Views 32
- Downloads 0
A Comparative Study Between Intravenous Propofol And An Equipotent Dose Of Thiopentone For The Insertion Of Laryngeal Mask Airway
Since its advent in 1981 by Dr. Archie Brain at the London hospital, the laryngeal mask airway (LMA) has turned out to be a boon for the anaesthesiologists .It not only forms an integral part of the difficult airway cart...
Distal Rta Type I In Beta Thalassemia Trait With Rachitic Manifestation: A Case Report
Beta thalassemia trait is a variant of beta thalassemia, which is a heterozygous state with features of mild anaemia, hypochromic microcytic red cells and elevated HbA2.Distal renal tubular acidosis (type I RTA) is an im...
Screening of In-Vivo Analgesic Activity of Siddha herbal Preparation Vajravalli Chooranam
The Vajjiravalli chooranam is traditionally used in siddha system for various skin diseases and pain management and osteo problems. The Vajjiravalli chooranam was evaluated for its analgesic activity on Swiss albino mice...
Optimizing Esthetics with Ceramic Veneers: A Case Report
Veneers are the most frequently prescribed aesthetic restorations today. Ceramic veneers can be offered as the treatment option in a wide variety of different cases such as correcting tooth defects, abrasion, orthodontic...
A Hospital Based Observational Study of Maternal and Fetal Outcomes in Pregnant Women with Hyperemesis Gravidarum in A Tertiary Care Hospital
Introduction: Nausea and vomiting are among the commonest experiences by women during pregnancy. It may affect 70–80% of all pregnant women.1 Majority of the pregnant women experiences nausea and vomiting mostly during t...