Utility of ultrasonography for prediction of difficult airway and assessment of dynamic airway changes

Autor: Shehla Bashir, Suhail Sidiq, Bashir Ahmad Dar, Majid Jehangir, Razia Hamid, Feroze Shaheen, Abdul Waheed Mir
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Asian Journal of Medical Sciences, Vol 15, Iss 3, Pp 230-235 (2024)
Druh dokumentu: article
ISSN: 2467-9100
2091-0576
DOI: 10.3126/ajms.v15i3.59747
Popis: Background: Several clinical tools are used for preoperative airway assessment. Ultrasound is an emerging tool in anesthesia, and its role in the upper airway needs to be explored. Aims and Objectives: We aimed to assess the role of airway ultrasound in predicting difficult laryngoscopy and airway changes following induction of anesthesia. Materials and Methods: Clinical airway assessment was performed with a modified Mallampati score in 100 elective surgical patients. Ultrasound variables in pre- and post-induction of anesthesia were: distance between the skin and vocal cords at the hyoid bone (DSVC hb), distance from the skin to the thyroid isthmus, distance from the skin to the tracheal ring at suprasternal notch level, and distance between the skin and the cricothyroid (DSCM). Cormack–Lehane (CL) grades 3b and 4 were classified as having a DL. Association of clinical, ultrasonography (USG) indicators and CL grading was correlated. Dynamic changes in anterior neck tissues following induction of anesthesia were also measured. Results: Pre-induction USG variables were significantly higher in the DL group compared to the NDL group (P
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