Evaluation of Airway Anatomical Characteristics after Elective Surgery with Difficult Intubation

Mitra Jabalameli; Mahmoud Saghaei; Majid Jaberzadeansari

Zahedan Journal of Research in Medical Sciences

The Official Journal of Zahedan University of Medical Sciences

Current Issue All Issues In Press Articles Accepted Manuscripts Search

Journal Information Boards and Committees Indexing and Listing Sources Journal Metrics Open Peer Review (OPR)Publication Ethics and Malpractice Statement Contact Us Support Reviewer and AE Registration Form

APC

Authors Guide Submit Manuscript

Evaluation of Airway Anatomical Characteristics after Elective Surgery with Difficult Intubation

Author(s):

Mitra Jabalameli^1,*,

Mahmoud Saghaei²,

Majid Jaberzadeansari¹

1Dept of Anesthesiology, Faculty of Medicine, Isfahan University of Medical Sciences and Health Services, Isfahan, Iran.

2General Practitioner, Isfahan University of Medical Sciences and Health Services, Isfahan, Iran.

Zahedan Journal of Research in Medical Sciences:Vol. 10, issue 2; e94535

Published online:Jun 21, 2008

Article type:Research Article

Received:Jun 10, 2008

Accepted:Jun 15, 2008

How to Cite:Mitra JabalameliMahmoud SaghaeiMajid JaberzadeansariEvaluation of Airway Anatomical Characteristics after Elective Surgery with Difficult Intubation.Zahedan J Res Med Sci.10(2):e94535.

Abstract

Background: Over the years there has been a great deal of research conducted on recognition
and prediction of the difficult intubation. The goal of this study was to assess the anatomical
conditions of airway in patients with difficult intubation after elective surgery.
Materials and Methods: In this cross–sectional prospective study, 51 patients who were
undergoing elective surgery under general anesthesia were enrolled. After awareness of patients in
recovery room, Mallampati score, thyromental distance, head and neck movements, distance
between upper and lower teeth, mandibular translation and backward movements, teeth conditions,
difficulty score were evaluated.
Results: In this study, %60.8 and %39.2 of patients were male and female respectively. Mean
age and weight of patients were 41.86±11.6 Y and 72.52±15.93 kg respectively. The Body Mass
Index was more than 25 in %54.9 of patients. The frequency of Mallampati class III and IV were
%58.8 and %15.7. Neck extension degree, thyromental distance, distance between upper and lower
teeth, and difficult intubation score were 43.23±5 degree, 6.61±1.98, 4.66±0.88 and 5.91±1.44 cm
respectively. The frequency of normal upper teeth, normal jaw and normal mandible were %33.3,
%62.7 and %82.3.
Conclusion: This study showed that mallampati score, mandibular backward and upper teeth
protrusion can predict difficult intubation better that other factors.

Keywords

Difficult intubation

airway anatomy

Mallampati class

Fulltext

The full text of this article is available on the PDF file.

References

1.
The References of this article are available on the PDF file.

comments