Correlation between oro and hypopharynx shape and position with endotracheal intubation difficulty

Rabadi, Daher; Baker, Ahmad Abu; Al‐Qudah, Mohannad

doi:10.1016/j.bjane.2013.08.003

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…The size and shape of these three structures can affect the size of the oropharynx and subsequent events related to obstructive sleep apnea. 26 To evaluate the closure of channels breath, it is essential to know is the size of the pharynx, especially the oropharynx. The oropharynx channel size is determined by the walls which form the channel, i.e., anterior, posterior, and lateral wall.…”

Section: Discussionmentioning

confidence: 99%

Friedman Tongue Position with the Obstructive Sleep Apnea Syndrome (OSAS) Correlation on Patient with Ischemic Stroke

Yuniarti

Tursina

Santoso

et al. 2019

GMHC

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Stroke is the number one cause of disability in the world. Sleep disturbances exacerbate post-stroke disabilities in addition to physical disorders. Sleep disorder breathing (SDB), especially obstructive sleep apnea syndrome (OSAS) is the most commonly found in stroke patients (more than 50%). Sleep disorders in patients with ischemic stroke may occur because of obstruction in the upper airway. To facilitate the assessment of the upper airway, Friedman set up a standard naso-velo-oropharyngeal examination area. There are four degrees of Friedman tongue position. This check can predict the presence or absence of OSAS. Obstructive sleep apnea syndrome can be assessed using STOP-BANG questionnaire, an instrument designed to rapidly detect obstructive sleep apnea (OSA) disorder, with an indication of score 5-8 is high-risk, 3-4 is moderate-risk, and 0-2 is low-risk. The method of this study was observational with cross-sectional design in acute phase ischemic stroke patient based on head CT-scan in RSAU dr. M. Salamun Bandung from August-December 2016. Statistical analysis using non-parametric Kruskal-Wallis test and Spearman's rank correlation test. The total subjects of this study were 38 people. The results showed that there was a significant relationship between Friedman tongue position and OSAS in stroke patients at RSAU dr. M. Salamun with p value=0.007. In conclusion, the tongue is an important anatomical structure in OSA patients, so evaluation of the position of the tongue is important to predict the severity of OSA.

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Section: Discussionmentioning

confidence: 99%

Friedman Tongue Position with the Obstructive Sleep Apnea Syndrome (OSAS) Correlation on Patient with Ischemic Stroke

Yuniarti

Tursina

Santoso

et al. 2019

GMHC

View full text Add to dashboard Cite

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“…20,22 We found direct association between poor laryngoscopic view and increase in the number of attempts at intubation in our study and this finding is similar to the earlier reports. 25 Overall, MMT is a better predictor of difficult laryngoscopy as compared to other routinely used tests. However, when used alone it may not be adequate for confidently predicting difficult laryngoscopy or tracheal intubation and therefore should form a part of the overall assessment of the airway.…”

Section: Iii/iv(12) I/ii(302) Number Of Patientmentioning

confidence: 92%

Prediction of Difficult Airway Among Patients Requiring Endotracheal Intubation in a Tertiary Care Hospital in Eastern Nepal

Khatiwada¹,

Bhattarai²,

Pokharel³

et al. 2017

J Nepal Med Assoc

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Introduction: Unanticipated difficult intubation is an undesirable situation. Various bedside screening tests are routinely performed for predicting difficult airway. Although considered a surrogate indicator, difficult laryngoscopy is not the exact measure of intubation difficulty. We aimed to determine the best screening test for predicting difficult laryngoscopy and the association between difficult laryngoscopic view and difficult intubation. Methods: This prospective, observational study involved 314, ASA I/II adult patients requiring endotracheal intubation for various routine surgical procedures. Sternomental distance < 12 cm, thyromental distance < 6.5cm, inter-incisor distance < 3.5 cm, mandibular protrusion grade 3 and modified Mallampati class III/IV were the predictors of difficult laryngoscopy. Laryngoscopic view was defined as ‘difficult’ when the Cormack and Lehane grade was III/ IV. The sensitivity, specificity, positive and negative predictive values and accuracy of these predictors were compared to find out the best predictor. Requirement of >3 attempts for insertion of the tracheal tube was defined as ‘difficult intubation’. The association between difficult laryngoscopic view and difficult intubation was determined. Results: The sensitivity of the modified Mallampati class for predicting difficult laryngoscopy was highest (83%). Twelve (3.8%) patients had grade III laryngoscopic view and none had a grade of IV. Intubation was difficult in seven (2.2%) patients. Majority of patients (4 of 7) with difficult intubation had difficult laryngoscopic view (p<0.001). Conclusions: Modified Mallampati test was better for predicting difficult laryngoscopy compared to other bedside screeing tests. Difficult laryngoscopy could significantly predict difficult intubation in our patients. Keywords: Airway evaluation; difficult intubation; difficult laryngoscopy; modified Mallampati class; Nepalese patients; sensitivity.

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Correlation between oro and hypopharynx shape and position with endotracheal intubation difficulty

Cited by 2 publications

References 18 publications

Friedman Tongue Position with the Obstructive Sleep Apnea Syndrome (OSAS) Correlation on Patient with Ischemic Stroke

Friedman Tongue Position with the Obstructive Sleep Apnea Syndrome (OSAS) Correlation on Patient with Ischemic Stroke

Prediction of Difficult Airway Among Patients Requiring Endotracheal Intubation in a Tertiary Care Hospital in Eastern Nepal

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