Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Article

PAFMJ. 2015; 65(4): 494-497


FREQUENCY OF DIFFICULT AND FAILED INTUBATION IN APPARENTLY NORMAL PATIENTS UNDERGOING ELECTIVE SURGERY

Faisal Salim, Habib Ur Rehman, Tassaduq Khurshid, Asjad Sharif.

Abstract
Objective: To find the frequency of difficult and failed intubation in apparently normal patients undergoing elective surgery. We also aimed to look at sensitivity and specificity of Mallampatti classification in our population.
Study Design: Cross sectional study.
Place and Duration of Study: Combined Military Hospital, Rawalpindi and Multan from 1st May 2013 to 1st June 2013.
Patients and Methods: There were 467 patients, who underwent elective surgery with general anesthesia and endotracheal intubation. During their pre-anesthetic visit, we assessed the airway according to Mallampatti score. After endotracheal intubations, frequency of difficult intubations was evaluated (i.e. Grade III and Grade IV) with special emphasis on intubation done by consultant anaesthetist and post graduate trainees followed by frequency of failure of intubation and other complications during intubation were also noted. Furthermore, comparison of Mallampatti with Cormack & Lehane’s classification of difficult intubation was done.
Results: Difficult intubation in these centers was 4.28% (20/467). Sensitivity of mallampatti was 98.2%. Incidence of failure of intubation was 0.42% in our study.
Conclusion: The frequency of difficult intubation is 4.28% whereas failure of intubation is very low (0.42%) and was observed in special cases only. In our study, the sensitivity of Mallampatti to Cormack & Lehane’s classification of intubation was 98.2% which suggests that it is a sensitive predictor of difficult intubation but complete accuracy cannot be determined by using the Mallampatti score.



Share this Article


Advertisement
Journal of Environmental and Occupational Science

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.