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PREOPERATIVE ASSESSMENT TO ANTICIPATE DIFFICULT INTUBATION IN CESAREAN SECTION | ||
| Duhok Medical Journal | ||
| Article 10, Volume 10, Issue 1, 2016, Pages 10-10 | ||
| Authors | ||
| ANAS A. MOHAMMAD1; MAHMOOD H. TAHA2 | ||
| 1Lecturer, Department of Surgery, College of Medicine, University of Duhok, | ||
| 2Anesthetist, Zakho General Hospital, Duhok Directorate of Health | ||
| Abstract | ||
| Background and objectives: Incidence of difficult intubation increases during pregnancy due to physiological and pathological changes. Risks associated with general anesthesia for Cesarean Section are generally related to airway problems such as difficult intubation and aspiration pneumonia. High risk of morbidity and mortality associated with difficult intubation or failure of intubation in Cesarean Section necessitates the anesthesia team to use the best way for evaluation of the airway and anticipation of difficult intubation. The aim of this study is to detect the best method for airway evaluation that anticipates difficult intubation in Cesarean Section. Methods: This study was conducted at Duhok Maternity Hospital during the period from May 2013 till October 2013. It included 100 pregnant patients admitted for Cesarean Section under general anesthesia, they evaluated for difficult intubation by Mallampati scoring system, (Thyromental, Sternomental, Hyomental) distances, Upper Lip Bite Test and Body Mass Index before induction of general anesthesia and the results were compared with the Cormack and Lehane grading system (the gold standard) after induction of anesthesia. Results: The sensitivity and specificity of the methods for anticipating difficult intubation were; Mallampati Scoring System (sensitivity 75%, specificity 97.82%), Upper Lip Bite Test (sensitivity 71.42%, specificity 90.69%), Body Mass Index (sensitivity 88.88%, specificity 45.05%), Sternomental Distance (sensitivity 60%, specificity 97.89%), Tyhromental Distance (sensitivity 50%, specificity 97.95%), Hyomental Distance (sensitivity 33.3%, specificity 97.93%). Conclusions: Mallampati scoring system is the best method for anticipating difficult intubation in Cesarean Section. | ||
| Keywords | ||
| difficult intubation; cesarean section; Mallampati scoring system; Cormack & Lehane | ||
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