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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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2018-10-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/2309/2004 |
| _version_ | 1818982790533742592 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-20T17:52:49Z |
| format | Article |
| id | doaj.art-d00a803282354a5dbe8d9a9cc9afe262 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-20T17:52:49Z |
| publishDate | 2018-10-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-d00a803282354a5dbe8d9a9cc9afe2622022-12-21T19:30:50ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422018-10-0168512881292FREQUENCY OF DIFFICULT INTUBATION IN OBESE PATIENTS WITH NECK CIRCUMFERENCE TO THYROMENTAL DISTANCE RATIO ≥ 5.0Kamil Hussain Qureshi0Naveed Masood1Usman Ejaz Malik2Syed Fazal-e-Karim Faisal Kundi3Forward Treatment Center, Kel Azad Kashmir PakistanForward Treatment Center, Kel Azad Kashmir PakistanForward Treatment Center, Kel Azad Kashmir PakistanForward Treatment Center, Kel Azad Kashmir PakistanObjective: 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.https://www.pafmj.org/index.php/PAFMJ/article/view/2309/2004difficult intubationneck circumference to thyromental distance ratio |
| spellingShingle | 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 Pakistan Armed Forces Medical Journal difficult intubation neck circumference to thyromental distance ratio |
| title | 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_short | 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 |
| topic | difficult intubation neck circumference to thyromental distance ratio |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/2309/2004 |
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