Evaluation of Difficult Airway Predictors in Pediatric Population as a Clinical Investigation
Anurag Aggarwal*, Kavita Rani Sharma and Uttam Chand Verma
MAMC, Bahadur Shah Zafar Marg, Delhi Gate, New Delhi- 110002, India
- *Corresponding Author:
- Anurag Aggarwal
MAMC, Bahadur Shah Zafar Marg
Delhi Gate, New Delhi- 110002, India
E-mail: [email protected]
Received date: July 23, 2012; Accepted date: October 22, 2012; Published date: October 29, 2012
Citation: Aggarwal A, Sharma KR, Verma UC (2012) Evaluation of “Difficult Airway Predictors in Pediatric Population" As a Clinical Investigation. J Anesth Clin Res 3:256. doi: 10.4172/2155-6148.1000256
Copyright: © 2012 Aggarwal A, 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.
Background: Preoperative evaluation of anatomical landmarks and clinical factors help identify potentially difficult airway. Till date there are no criteria or absolute guidelines that can be helpful in detecting difficult airway in pediatric population. Aim: To find the predictors of difficult mask ventilation, difficult laryngoscopy and difficult intubation in pediatric population age 1-5 years. Setting and design a prospective study was conducted in 100 ASA grade I/II pediatric patients between 1-5 years, scheduled for surgery under general anesthesia. Patients with congenital upper airway malformations and those with neck or face swelling or scars were excluded from the study. Material and methods: We assessed the usefulness of interincisor gap (IIG), oropharyngeal view with mouth wide open (without tongue protrusion), modified mallampati Class (MMP) , relationship of maxillary and mandibular incisor during normal jaw closure, neck circumference(NC) , thyromental distance (TMD), sternomental distance (SMD), ratio of height to thyromental distance as preoperative predictors of difficult mask ventilation , laryngoscopy and intubation.