Magnitude and Predictive Values of Preoperative Tests for Difficult Laryngoscopy and Intubation among Surgical Patients Who Underwent Elective Surgery under General Anesthesia in Tikur Anbessa Specialized Hospital from February1 to March 30, 2016

Tamire, Tadese (2016) Magnitude and Predictive Values of Preoperative Tests for Difficult Laryngoscopy and Intubation among Surgical Patients Who Underwent Elective Surgery under General Anesthesia in Tikur Anbessa Specialized Hospital from February1 to March 30, 2016. Masters thesis, Addis Ababa University.

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Abstract

Introduction: The significance of difficult or failed tracheal intubation following induction is well-recognized cause of morbidity and mortality in anesthetic practice. Nevertheless, the need to predict potentially difficult tracheal intubation has received a little attention. During routine anesthesia the incidence of difficult tracheal intubation has been estimated at 1.5% - 8% of general anesthetics. Difficulties in intubation have been associated with serious complications, such as brain damage or death, particularly when failed intubation has occurred. Occasionally in a patient with a difficult airway, the anesthetist is faced with the situation where mask ventilation proves difficult or impossible. This is one of the most critical emergencies that may be faced in the practice of anesthesia. If the anesthetist can predict which patients are likely to prove difficult to intubate, he/she may reduce the risks of anesthesia considerably. In Ethiopia there is no data on the magnitude of difficult laryngoscopic tracheal intubation and no standard guideline for preoperative tests.The main concern of this study was to provide information on the magnitude of difficult laryngoscopic intubation and to determine valuable preoperative tests to predict difficult laryngoscopy and intubation in patients with apparently normal airways which can help anesthetists to improve preoperative airway assessment and contribute to decrease anesthesia related morbidity and mortality. Objective:The main objective of this study was to assess the magnitude and predictive values of preoperative tests for difficult laryngoscopy and intubation, among surgical patients who underwent elective surgery under general anesthesia with endotracheal intubation in Tikur Anbessa Hospital from February 1- March 30, 2016. Study design: A facility based cross sectional study design was used. Result:In this study, we found the magnitude of difficult laryngoscopy and intubation as 13.6% and 5% respectively. 33.3% of Patients with difficult laryngoscopy were found to be difficult for intubation. Mallampatti test, interincisor distance and thyromental distance were identified to be good preoperative tests to predict difficult laryngoscopic intubation when used in combination. Recommendation: We recommend anesthesia professionals to use combination of MMC/TMD/IID for their routine preoperative airway assessment.

Item Type:	Thesis (Masters)
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RD Surgery
Divisions:	Africana
Depositing User:	Emmanuel Ndorimana
Date Deposited:	09 Aug 2018 14:31
Last Modified:	09 Aug 2018 14:31
URI:	http://thesisbank.jhia.ac.ke/id/eprint/8095

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