Die schwierige Intubation beim Erwachsenen

Langenstein, H; Cunitz, G

doi:10.1007/s001010050274

Cited by 53 publications

(21 citation statements)

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“…[1] It has been estimated that inability to successfully manage difficult airways has been responsible for as many as 30% of deaths attributable to anaesthesia. [23] The incidence of difficult and failed intubation has been reported to be 1-3.6% and 0.05-0.3%, respectively.…”

Section: Introductionmentioning

confidence: 99%

Sensitivity of palm print sign in prediction of difficult laryngoscopy in diabetes: A comparison with other airway indices

Hashim¹,

Thomas²

2014

Indian J Anaesth

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Background and Aims:Diabetic patients are prone for the limited joint mobility syndrome. The atlanto-occipital joint involvement limits adequate extension of head and neck during laryngoscopy making intubation difficult. The collagen glycosylation starts in the fourth and fifth inter-phalangeal joints. The degree of inter-phalangeal involvement can be assessed by scoring the ink impression made by the palm of the dominant hand (palm print [PP] sign) The aim of our study was to evaluate the PP sign as a screening tool for predicting difficult laryngoscopy in diabetic patients.Methods:A total of 60 diabetic patients undergoing general anaesthesia with endotracheal intubation were assessed pre-operatively for their airway indices using the modified Mallampati test, thyromental distance, degree of head extension, the PP test and the prayer sign and their corresponding Cormack–Lehane scores were noted. Statistical analysis was performed using Fischer exact test.Results:Of the 60 patients, 15 had positive PP sign. Of the 13 difficult laryngoscopies encountered, 10 patients had a positive PP sign. PP sign was the most sensitive index in predicting difficult laryngoscopy. P =0.000 was obtained and considered as statistically significant. The sensitivity was 76.9%, specificity 89.4%, positive and negative predictive value 71.4% and 91.3% and accuracy 86.7%, respectively. The other signs were not significant in predicting difficult laryngoscopy.Conclusion:The PP test appears to be the most sensitive and specific in the prediction of difficult laryngoscopy in diabetic patients.

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Section: Introductionmentioning

confidence: 99%

Sensitivity of palm print sign in prediction of difficult laryngoscopy in diabetes: A comparison with other airway indices

Hashim¹,

Thomas²

2014

Indian J Anaesth

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“…Die endotracheale Intubation und kontrollierte Beatmung stellt immer noch den sichersten Weg der Atemwegskontrolle dar und ermöglicht unter Anwendung geblockter Tuben einen nahezu sicheren Aspirationsschutz [11,12]. Endotrachealtuben unterscheiden sich u. a. nach: [4,12].Die Vor-und Nachteile von Tuben mit und ohne Cuff sind in Tabelle 1 dargestellt.…”

Section: Die Endotracheale Intubation -"Golden Standard" Mit Komplikaunclassified

Anästhesieverfahren und Techniken der Atemwegssicherung bei HNO-ärztlichen Eingriffen

Kleinschmidt

2002

HNO

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“…Zur Sedierung und Dämpfung der Eigenreflexe wird häufig Fentanyl in einer Dosis von 0,1 bis 0,2 mg empfohlen [5][6][7]11]. Obwohl mit diesem Opioid langjährige Erfahrungen vorliegen, ist aus pharmakokinetischer Sicht zu bedenken, dass es von allen klinisch verwendeten Opioiden die längste Halbwertszeit aufweist.…”

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Remifentanil/Propofol zur bronchoskopischen Wachintubation unter Kapnographiekontrolle

et al. 2000

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With the use of nasal capnography and capnometry in addition to simultaneous O2 administration during fiberoptic intubation under extreme conditions excellent analgosedation with propofol and remifentanil could be provided without compromising our patients' safety. The presented CO2 measuring and O2 administering device represents a simple and cheap expansion of standard anesthetic monitoring during fiberoptic intubation.

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Die schwierige Intubation beim Erwachsenen

Abstract: With better preoperative evaluation and clear guidelines and training for difficult intubation anaesthetic morbidity and mortality can be reduced.

Cited by 53 publications

References 0 publications

Sensitivity of palm print sign in prediction of difficult laryngoscopy in diabetes: A comparison with other airway indices

Sensitivity of palm print sign in prediction of difficult laryngoscopy in diabetes: A comparison with other airway indices

Anästhesieverfahren und Techniken der Atemwegssicherung bei HNO-ärztlichen Eingriffen

Remifentanil/Propofol zur bronchoskopischen Wachintubation unter Kapnographiekontrolle

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