ultrasonography in prediction of difficult airway intubation in obese patients in emergency operations | ||||
Minia Journal of Medical Research | ||||
Articles in Press, Accepted Manuscript, Available Online from 20 February 2023 | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2023.192213.1339 | ||||
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Authors | ||||
tarek abdelmonem1; Hemmat Amer Mohamed 2; Mohamed Ameen3; Omyma shehata Mohamed4 | ||||
1anaethesia and intesive care department | ||||
2Anesthesia and ICU department at faculty of medicine Minia university. | ||||
3Radiology department, Faculty of Medicine, Minia University, Minia, Egypt | ||||
4Anesthesia and ICU department at faculty of medicine Minia university | ||||
Abstract | ||||
Background: Unexpectedly challenging laryngoscopy may still be a significant issue despite the adoption of several clinical index tests for airway evaluation. Patients and method: this a prospective single center, double blind Cohort study, included as many eligible patients over period of 6 months whom were obese patients without clear anatomical abnormalities undergoing urgent surgeries and receiving general anesthesia, 349 patients included and divided to Control group (c) who were non obese patients, Obese group (O) with BMI >30 kg/m2. Aim of the work: evaluate the efficacy of ultrasonography for predicting difficult intubation in patients who need emergency surgical treatment and are obese. Results: a significant difference recorded between the two groups as regard the weight which was higher in obese patients (92.1±6.2), and consequently the BMI was (34.8±4.9). Also, a significant difference in the clinical assessment between two groups, incidence of difficult laryngoscopy DL (20.3%) of obese patients, Conclusion: In obese individuals, ultrasonography might foretell a more challenging laryngoscopy. | ||||
Keywords | ||||
ultrasound; difficult airway; endotracheal intubation; obesity; emergency | ||||
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