E-ISSN 2534-9821
 

Original Research 


The efficacy of different predictors of difficult airway in Sikkimese people

Aradhna Sinha, Rajni, Lhamo Dolma, Ajay Kumar, Davinder Jit Singh.

Abstract
Aim: To determine the incidence of a difficult airway and which parameter will be suitable to predict it in the Sikkimese population.
Material and methods: This observational single-blinded study was done on 500 patients between 18 to 65 years of age coming for surgery under general anaesthesia. The airway parameters assessed were the Modified Mallampati test (MMP), Inter incisor gap (IG), Thyromental distance (TMD), Sternomental distance (SMD) and Mandibular protrusion (MP), along with demographic characteristics. Then difficult intubation was graded according to the Cormack-Lehane classification and was compared with the parameters mentioned above.
Result: 86 patients had difficult intubation, with an incidence of 17.20%. Gender and different ethnicity showed significant association. MMP, TMD and among combination test MMP+TMD, MMP+SMD was statistically significant. The maximum AUC of the ROC curve was seen in TMD (0.65), followed by MMP+TMD (0.615). The Mandibular protrusion has the highest sensitivity (100%). The MMP showed the least sensitivity (27.91%) but the highest specificity (93%), PPV (45.3%) and diagnostic accuracy (81.8%). The sensitivity for MMP was found to be increased in combined parameters MMP + SMD (73.26%) and MMP + TMD (55.81%).
Conclusion: It's better to use a combination of tests to predict difficult airways. TMD, MMP+TMD and MMP+SMD can be used.

Key words: Difficult airway, Cormack Lehane Grade, Inter incisor Gap, Modified Mallampati Test, Sternomental Distance, Thyromental Distance


 
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How to Cite this Article
Pubmed Style

Sinha A, Rajni , Dolma L, Kumar A, Singh DJ. The efficacy of different predictors of difficult airway in Sikkimese people. Int J Med Rev Case Rep. 2022; 6(14): 29-35. doi:10.5455/IJMRCR.172-1640148384


Web Style

Sinha A, Rajni , Dolma L, Kumar A, Singh DJ. The efficacy of different predictors of difficult airway in Sikkimese people. https://www.mdpub.net/?mno=100118 [Access: November 20, 2022]. doi:10.5455/IJMRCR.172-1640148384


AMA (American Medical Association) Style

Sinha A, Rajni , Dolma L, Kumar A, Singh DJ. The efficacy of different predictors of difficult airway in Sikkimese people. Int J Med Rev Case Rep. 2022; 6(14): 29-35. doi:10.5455/IJMRCR.172-1640148384



Vancouver/ICMJE Style

Sinha A, Rajni , Dolma L, Kumar A, Singh DJ. The efficacy of different predictors of difficult airway in Sikkimese people. Int J Med Rev Case Rep. (2022), [cited November 20, 2022]; 6(14): 29-35. doi:10.5455/IJMRCR.172-1640148384



Harvard Style

Sinha, A., Rajni, ., Dolma, . L., Kumar, . A. & Singh, . D. J. (2022) The efficacy of different predictors of difficult airway in Sikkimese people. Int J Med Rev Case Rep, 6 (14), 29-35. doi:10.5455/IJMRCR.172-1640148384



Turabian Style

Sinha, Aradhna, Rajni, Lhamo Dolma, Ajay Kumar, and Davinder Jit Singh. 2022. The efficacy of different predictors of difficult airway in Sikkimese people. International Journal of Medical Reviews and Case Reports, 6 (14), 29-35. doi:10.5455/IJMRCR.172-1640148384



Chicago Style

Sinha, Aradhna, Rajni, Lhamo Dolma, Ajay Kumar, and Davinder Jit Singh. "The efficacy of different predictors of difficult airway in Sikkimese people." International Journal of Medical Reviews and Case Reports 6 (2022), 29-35. doi:10.5455/IJMRCR.172-1640148384



MLA (The Modern Language Association) Style

Sinha, Aradhna, Rajni, Lhamo Dolma, Ajay Kumar, and Davinder Jit Singh. "The efficacy of different predictors of difficult airway in Sikkimese people." International Journal of Medical Reviews and Case Reports 6.14 (2022), 29-35. Print. doi:10.5455/IJMRCR.172-1640148384



APA (American Psychological Association) Style

Sinha, A., Rajni, ., Dolma, . L., Kumar, . A. & Singh, . D. J. (2022) The efficacy of different predictors of difficult airway in Sikkimese people. International Journal of Medical Reviews and Case Reports, 6 (14), 29-35. doi:10.5455/IJMRCR.172-1640148384