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Airway Management by Zahid Hussain Khan (eds.)

By Zahid Hussain Khan (eds.)

Because of his foreign prominence, Professor Khan has been capable of assemble an enviable checklist of specialists within the box to give a contribution their adventure with airway administration in a large number of scientific settings. The severe appraisal of the airway authored through the editor, Professor Khan, units the level for the real preoperative checks which may alert the clinician of the opportunity of a tricky airway in order that applicable plans should be made. The ambitious “guest checklist” of authors spans the realm and encompasses clinicians from Malaysia, the us, Pakistan, India, Denmark, Singapore, Germany, Canada and Iran. what's both extraordinary is the checklist of themes mentioned within the textbook and the numerous scientific settings during which airway administration is probably going to pose specific and precise demanding situations: pediatrics; sufferers with cervical backbone harm and people with annoying mind damage; ambulatory surgical procedure; sufferers with obstructive sleep apnea and obstetric sufferers. The publication additionally addresses the newest in technological advances which can relief the clinician in diagnosing and dealing with the tricky airway, akin to ultrasonography and likewise describes surgical methods to coping with the tricky airway, akin to cricothyrotomy. ultimately, underscoring the really foreign allure of the textbook and acknowledging the capability technological obstacles of the constructing international, a bankruptcy is devoted to using indigenous units in dealing with the tough airway.

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Body weight is categorized as\90, 90–110 or[110 kg [28, 49]. Tse et al. [39] found that a head extension angle B80° to predict DI had a Se of 8 % and a PPV of 21 %. Thus it cannot be used as a reliable test in the prediction of DI. However if there is no limitation in head extension, there would be no intubation difficulty meaning that the test has high Sp and NPV thus providing reassurance that negative results indicate truly easy endotracheal intubation. The test described by Bellhouse and Dore [2] estimates the angle traversed by the occlusal surface of the maxillary teeth when the occipito-atlanto-axial (OAA) complex is fully extended.

Lewis et al. [31] recommend that the Mallampati test be performed with the patient in the sitting position, the head fully extended, the tongue protruded with phonation. Khan et al. [32] concluded that the Mallampati test in the supine position without phonation had better compatibility in predicting difficult mask ventilation. 5 %. They had included grade 2 in the CLG system in the DI. 8 %. Yamamoto et al. 8 %. 5 % for Se and Sp respectively. Cattano et al. [35] demonstrated a good correlation between the Mallampati scale and the CLG system, although the Mallampati scale lacked the sensitivity to be a good predictor when used alone.

Turkan S, Ates Y, Cuhruk H, Tekdemir I (2002) Should we reevaluate the variable for predicting the difficult airway in anesthesiology. Anesth Analg 94:1340–1344 52. Urakami Y, Takenaka I, Nakamura M, Fukuyama H, Aoyama K, Kadoya T (2002) The reliability of the Bellhouse test for evaluating extension capacity of the occipito atlanto axial complex. Anesth Analg 95:1437–1441 53. Juvin P, Lavaut E, Dupont H et al (2003) Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg 97:595–600 54.

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