The palm print as a sensitive predictor of difficult laryngoscopy in diabetics

Nadal, Jorge Luis Yera; Fernandez, B. G.; Escobar, Idoris Cordero; Black, Myles; Rosenblatt, William H.

doi:10.1111/j.1399-6576.1998.tb05109.x

Cited by 47 publications

(44 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…16 A recent editorial recommended that metformin be discontinued 48 hr before elective surgery. 13 Published correspondence following the recommendation revealed that there is no evidence supporting 48-hr abstinence. 17 A Cochrane review of 176 randomized controlled trials of metformin did not identify a single episode of lactic acidosis in over 35,000 patient-years of therapy.…”

Section: How Long Before Surgery Should the Patient Discontinue Metfomentioning

confidence: 99%

“…Stiffness of the fourth and fifth interphalangeal joints (the prayer sign) assessed using palm prints is a sensitive predictor of difficult intubation. 13 A retrospective review of 725 patients undergoing renal or pancreatic transplantation found diabetics were at a fourfold increased risk of minimally to moderately difficult intubation. 14 All were successfully intubated by conventional means.…”

Section: Is This Patient At Particular Risk Of Airway Problems?mentioning

confidence: 99%

See 1 more Smart Citation

Patient selection in ambulatory anesthesia — An evidence-based review: part II

et al. 2004

View full text Add to dashboard Cite

P Pu ur rp po os se e: : This is the second of two reviews evaluating the management of patients with selected medical conditions undergoing ambulatory anesthesia and surgery. Conditions highlighted in this review include: diabetes mellitus; morbid obesity; the ex-premature infant; the child with an upper respiratory infection; malignant hyperthermia; and the use of monoamine oxidase inhibitors.S So ou ur rc ce e: : Medline search strategies and the framework for the evaluation of clinical evidence are presented in Part I. P Pr ri in nc ci ip pa al l f fi in nd di in ng gs s: : Diabetes mellitus has not been linked with adverse events following ambulatory surgery. The morbidly obese patient is at an increased risk for minor respiratory complications in the perioperative period but these events do not increase unanticipated admissions. The ex-premature infant may be considered for ambulatory surgery if post-conceptual age is > 60 weeks and hematocrit is > 30%. The child with a recent upper respiratory tract infection is at an increased risk for perioperative respiratory complications, particularly if endotracheal intubation is required. Patients with malignant hyperthermia may undergo outpatient surgery but require four hours of postoperative temperature monitoring. Sporadic cases of drug interactions have been reported when meperidine and indirectacting catecholamines are administered in the presence of monamine oxidase inhibitors. Ambulatory anesthesia and surgery is safe if these combinations of drugs are avoided.C Co on nc cl lu us si io on n: : Ambulatory anesthesia can be performed in, and is being offered to, a variety of patients with significant coexistent disease. In many cases there is little evidence documenting the outcomes expected in such patients. Prospective observational and interventional trials are required to better define perioperative management. Objectif : C'est la seconde revue qui évalue la prise en charge de patients, dont les pathologies médicales ont été ciblées, qui doivent subir une anesthésie en chirurgie ambulatoire. Les situations choisies comprennent : le diabète, l'obésité morbide, l'enfant né prématurément, l'enfant atteint d'infection des voies respiratoires supérieures, l'hyperthermie maligne et l'usage d'inhibiteurs de la monoamine-oxydase. Source : Les stratégies de recherche dans Medline et le cadre de l'é-valuation de la preuve clinique sont présentés dans la partie I. Constatations principales : Le diabète n'a pas été relié à des événements indésirables à la suite d'une opération ambulatoire. Le patient très obèse est plus à risque de complications respiratoires péri-opératoires mineures, ce qui n'augmente pas les admissions hospitalières imprévues. L'enfant prématuré est admis en chirurgie ambulatoire si l'âge post-conception est > 60 semaines et si l'hématocrite est > 30 %. L'enfant qui a une infection récente des voies respiratoires supérieures

show abstract

Section: How Long Before Surgery Should the Patient Discontinue Metfomentioning

confidence: 99%

Section: Is This Patient At Particular Risk Of Airway Problems?mentioning

confidence: 99%

Patient selection in ambulatory anesthesia — An evidence-based review: part II

et al. 2004

View full text Add to dashboard Cite

show abstract

“…Their study interestingly noted that diabetic patients with easy laryngoscopy (Cormack-Lehane laryngoscopic view grades 1 and 2) had a mean glycosylated hemoglobin (HbA1c) of 6.2 ± 1.3%, whereas those with difficult laryngoscopy (Cormack-Lehane laryngoscopic view grades 3 and 4) had a mean HbA1c of 8.7 ± 1.9%. Some reports show the efficacy of the palm print as a sensitive predictor of difficult laryngoscopy in diabetic patients [14,17]. In contrast, Erden et al [18] reported no relationship between the ''prayer sign'' (inability to approximate the palmar surfaces of the phalangeal joints despite maximum effort) and difficult laryngoscopy.…”

Section: Stiff-joint Syndromementioning

confidence: 93%

Anesthetic considerations in diabetic patients. Part I: preoperative considerations of patients with diabetes mellitus

Kikuchi

2010

J Anesth

View full text Add to dashboard Cite

Diabetes mellitus is an increasingly common disease that affects people of all ages, resulting in significant morbidity and mortality. Diabetic patients require perioperative care more frequently than their nondiabetic counterparts. The major risk factors for diabetics undergoing surgery are the associated end-organ diseases: cardiovascular disease, autonomic neuropathy, joint collagen tissue, and immune deficiency. Physicians need to pay extra attention to preoperative and preprocedure evaluation and treatment of these diseases to ensure optimal perioperative management.

show abstract

“…A palm print score from 0-3 based on the degree of visibility of phalangeal areas on a piece of paper has been assessed as a factor to predict difficult laryngoscopy. [4][5][6][7] Several studies have compared it to other common clinical airway indices such as the Modified Mallampati score, thyromental distance and degree of neck extension and have found it to be the most sensitive predictor of difficult laryngoscopy in diabetic patients with sensitivity ranging from 75-100%. 6 7 The palm print test when used in combination with other airway assessment indices may improve the predictability of difficult laryngoscopy.…”

Section: Discussionmentioning

confidence: 99%