FREQUENCY OF DIFFICULT INTUBATION IN OBESE PATIENTS WITH NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO ≥ 5.0
Objective: To determine the frequency of difficult intubation in obese patients with neck circumference to thyromental distance ratio (NC/TM) ≥5.0. Study Design: Cross sectional study. Place and Duration of Study: Department of Anaesthesia, Forward Treatment Centre, Kel (Azad Kashmir) and Combin...
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Army Medical College Rawalpindi
2018
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oai:doaj.org-article:d00a803282354a5dbe8d9a9cc9afe2622021-12-02T06:46:14ZFREQUENCY OF DIFFICULT INTUBATION IN OBESE PATIENTS WITH NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO ≥ 5.00030-96482411-8842https://doaj.org/article/d00a803282354a5dbe8d9a9cc9afe2622018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2309/2004https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the frequency of difficult intubation in obese patients with neck circumference to thyromental distance ratio (NC/TM) ≥5.0. Study Design: Cross sectional study. Place and Duration of Study: Department of Anaesthesia, Forward Treatment Centre, Kel (Azad Kashmir) and Combined Military Hospital (CMH) Malir. Six months, from Jun 2015 to Nov 2015. Material and Methods: A total of 94 patients between the ages of 18 and 50 years with body mass index (BMI) ≥27.5 kg/m2 and NC/TM ≥5.0 who received general anesthesia requiring tracheal intubation for elective surgery (Orthopaedic, General Sugery, Urology & Gynaecology) were included in the study. Patients were induced general anaesthesia and orotracheal intubation was done by anaesthetist with at least 1 year experience. Number of intubation attempts were recorded in each patient. More than 3 attempts were considered difficult intubation. Results: Eighty two (87.2%) out of 94 obese patients with BMI ≥27.5 kg/m2 and NC/TM ≥5 had difficult intubation. Conclusion: The NC/TM ≥5 was found good predictor for difficult intubation in obese patients.Kamil Hussain QureshiNaveed MasoodUsman Ejaz MalikSyed Fazal-e-Karim Faisal KundiArmy Medical College Rawalpindiarticledifficult intubationneck circumference to thyromental distance ratioMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1288-1292 (2018) |
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difficult intubation neck circumference to thyromental distance ratio Medicine R Medicine (General) R5-920 |
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difficult intubation neck circumference to thyromental distance ratio Medicine R Medicine (General) R5-920 Kamil Hussain Qureshi Naveed Masood Usman Ejaz Malik Syed Fazal-e-Karim Faisal Kundi FREQUENCY OF DIFFICULT INTUBATION IN OBESE PATIENTS WITH NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO ≥ 5.0 |
description |
Objective: To determine the frequency of difficult intubation in obese patients with neck circumference to
thyromental distance ratio (NC/TM) ≥5.0.
Study Design: Cross sectional study.
Place and Duration of Study: Department of Anaesthesia, Forward Treatment Centre, Kel (Azad Kashmir) and
Combined Military Hospital (CMH) Malir. Six months, from Jun 2015 to Nov 2015.
Material and Methods: A total of 94 patients between the ages of 18 and 50 years with body mass index (BMI)
≥27.5 kg/m2 and NC/TM ≥5.0 who received general anesthesia requiring tracheal intubation for elective surgery
(Orthopaedic, General Sugery, Urology & Gynaecology) were included in the study. Patients were induced
general anaesthesia and orotracheal intubation was done by anaesthetist with at least 1 year experience. Number
of intubation attempts were recorded in each patient. More than 3 attempts were considered difficult intubation.
Results: Eighty two (87.2%) out of 94 obese patients with BMI ≥27.5 kg/m2 and NC/TM ≥5 had difficult
intubation.
Conclusion: The NC/TM ≥5 was found good predictor for difficult intubation in obese patients. |
format |
article |
author |
Kamil Hussain Qureshi Naveed Masood Usman Ejaz Malik Syed Fazal-e-Karim Faisal Kundi |
author_facet |
Kamil Hussain Qureshi Naveed Masood Usman Ejaz Malik Syed Fazal-e-Karim Faisal Kundi |
author_sort |
Kamil Hussain Qureshi |
title |
FREQUENCY OF DIFFICULT INTUBATION IN OBESE PATIENTS WITH NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO ≥ 5.0 |
title_short |
FREQUENCY OF DIFFICULT INTUBATION IN OBESE PATIENTS WITH NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO ≥ 5.0 |
title_full |
FREQUENCY OF DIFFICULT INTUBATION IN OBESE PATIENTS WITH NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO ≥ 5.0 |
title_fullStr |
FREQUENCY OF DIFFICULT INTUBATION IN OBESE PATIENTS WITH NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO ≥ 5.0 |
title_full_unstemmed |
FREQUENCY OF DIFFICULT INTUBATION IN OBESE PATIENTS WITH NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO ≥ 5.0 |
title_sort |
frequency of difficult intubation in obese patients with neck circumference to thyromental distance ratio ≥ 5.0 |
publisher |
Army Medical College Rawalpindi |
publishDate |
2018 |
url |
https://doaj.org/article/d00a803282354a5dbe8d9a9cc9afe262 |
work_keys_str_mv |
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_version_ |
1718399779515400192 |