The Value of Ultrasound in the Assessment – Prediction of Difficult Intubation
*Corresponding Author(s):
Flampouraris VasileiosSismanoglio- Amalia Fleming General Hospital, Department Of Anaesthesiology And Pain Medicine, Athens, Greece
Email:vasflamp@gmail.com
Keywords
Ultrasound; Intubation
Introduction
Recently, the value of ultrasound has been recognized as a promising non-invasive method of predicting the difficult airway.This is a real fact when ultrasound is combined with Mallampatti score.
Purpose
We studied the value of some ultrasound’s markers in patients with Mallampatti score III, IV, in order to predict preoperatively a difficult airway.
Materials and Methods
We conducted a study of six female patients , aged between 48-60 years old , ASA II , BMI 35 – 45, four of which with Mallampatti score III and two with Mallampatti score IV [1] .None of them had received neck radiotherapy [2,3]. The thyrohyod distance of all patients was less than six centimeters. Ultrasonically studied
- DSE : Distance from Skin to Epiglottis
- HMD : Distance between Mandible/chin and Hyoid bone.
- Tongue thickness
Results
The distance from skin to epiglottis measured less than 4.8 cm. Submandibular/hyoid bone was less than 5.3 cm, and tongue thickness 6.13 mm. Patients during laryngoscopy, were classified as IIIb according to Cormack-Lehane grading and intubated by using an Airtraq optical laryngoscope.
Conclusion
Ultrasound combined with clinical predictors of difficult airway can be a valuable adjunct tool in airway assessment and management .The study continues.
References
- Apfelbaum JL, Hagberg CA, Connis RT, Abdelmalak BB, Agarkar M, et al. (2022) 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anaesthesiology 136: 31-81.
- Wu H, Wang H (2022) Diagnostic Efficacy and Clinical Value of Ultrasonography in Difficult Airway Assessment: Based on a Prospective Cohort Study. Contrast Media Mol Imaging.
Citation: Vasileios F (2023) The Value of Ultrasound in the Assessment – Prediction of Difficult Intubation. J Anesth Clin Care 10: 081.
Copyright: © 2023 Flampouraris Vasileios, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
