PREDICTING DIFFICULT INTUBATION IN ELECTIVE SURGICAL PATIENTS: THE ROLE OF BEDSIDE SONOGRAPHIC MEASUREMENTS
DOI:
https://doi.org/10.22159/ijcpr.2025v17i1.6034Keywords:
Difficult intubation, Bedside sonography, irway management, Elective surgery, AnesthesiaAbstract
Objective: Predicting difficult intubation remains a pivotal challenge in anesthesia, with traditional methods often failing to identify all at-risk patients. This study investigates the efficacy of bedside sonographic measurements as predictors of intubation difficulty in elective surgical patients.
Methods: A prospective observational study was conducted at Gulbarga Institute of Medical Sciences, Kalaburagi, involving 60 adult elective surgery patients. Sonographic measurements, including hyomental distance, pre-epiglottic space, anterior soft tissue distance, and neck circumference were evaluated for their ability to predict difficult intubation.
Results: The study found significant associations between all measured parameters and intubation difficulty. Specifically, shorter hyomental and pre-epiglottic spaces were strongly predictive of difficult intubations. Increased anterior soft tissue thickness and larger neck circumference were also linked to higher intubation difficulty.
Conclusion: Bedside sonographic measurements provide a reliable method for predicting difficult intubations in elective surgical patients. Their integration into preoperative evaluations can significantly enhance the prediction and management of difficult airways.
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