Analysis of anterior soft tissue thickness using ultrasonogram, body mass index and neck circumference in predicting difficult intubation
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 7, Issue 1
Abstract
Background: Difficult endotracheal intubation under general anesthesia can cause intubation delay or failure, which can bring on fatal results. Though there are various methods to predict the airway difficulty, none of them are accurate. Hence in this study we have evaluated to assess the correlation between difficult intubation and soft tissue thickness using ultrasonography and other methods. Aim: The aim of the study is to analyse pretracheal soft tissue using ultrasonogram, body mass index and neck circumference in predicting intubation difficulties. Methods: 200 adults of ASA 1 and 2 between 18 and 70 years were randomly selected and were studied for airway assessment, anterior soft tissue thickness using ultrasound, body mass Index and neck circumference. Results: The variables were statistically analysed using SPSS software version 13. Results were analysed using chi square test and significant correlation was found between increasing neck circumference and difficult intubation. Conclusion: Anterior soft tissue thickness using ultrasound, Body mass index and neck circumference, significantly predicted the difficult intubation.
Authors and Affiliations
B Ravindran, V Murali Magesh, K Vinoth Kumar
Keywords
Related Articles
- EP ID EP414595
- DOI -
- Views 191
- Downloads 0
Anaesthetic management of patient with pheochromocytoma for laparoscopic adrenalectomy
Pheochromocytoma is a neuroendocrine tumor of the medulla of the adrenal glands (originating in the chromaffin cells), or extra-adrenal chromaffin tissue that failed to involute after birth,1 that secretes high amounts o...
Study of effect of spinal anaesthesia on perioperative hyperglycemia in non-diabetic patients undergoing lower limb orthopaedic surgeries
Background and Aims: The stress of surgery results in increased levels of gluco-regulatory hormones and excessive release of inflammatory cytokines. The counter-regulatory response produces alterations in carbohydrate me...
Hemodynamic properties and respiratory efforts: A comparative study between etomidate and propofol
Background: A successful general anaesthesia is defined as a reversible triad of hypnosis, analgesia and abolition of reflex activity. Over years, there has been a continuous search for better and safer intravenous agent...
A comparative study on two doses of clonidine 45mcg Vs 60mcg added to 0.5% hyperbaric bupivacaine given intrathecally for infra umbilical surgeries
Background: This study was designed to evaluate the addition of two doses of clonidine ( 45 µg and 60µg) added to hyperbaric bupivacaine (0.5%) 2.75ml in spinal anaesthesia for sub umbilical surgeries. Aim of Study: Time...
Spinal anesthesia as contributing factor to chronic low backache: A myth or reality
Background: Backache is a common health problem affecting people and a major cause of physical, psychological and economical burden for the individual as well as society. The occurrence of low back pain in India is high...