Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Determine Difficulty in Intubation By Using CL Grade and to Determine Validity of Inter Incisor Gap, Modified Mallampati Test
Y. Prajwala, D. Devika Rani, M. Madhura and N. Suvina
Page: 336-340 | Received 03 Feb 2024, Accepted 25 Feb 2024, Published online: 30 Mar 2024
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Abstract
The reported incidence of difficult laryngoscope and tracheal intubation occurs in 1.5‐8% of patients in general anaesthesia. Predicting a difficult intubation employing a myriad of measurements and observations has not demonstrated itself to be practicable or even reliable. To determine difficulty in intubation by using CL grade and to determine validity of Inter incisor gap, Modified Mallampati Test. This Prospective observational study was conducted among patients undergoing elective surgery under general anaesthesia in Department of Anaesthesiology, Bangalore Medical College and research institute. Duration of study was November 2018 to March 2020. In the study majority of subjects were in the age group 31‐40 years (35.75%), Majority of subjects were males and had ASA grade 1. Based on Cormack Lehane scoring, 59% had Score 1, 23% had Score 2, 16% had Score 3 and 2% had Score 4. 72 subjects with difficult grade in CL, 97.2% were difficult in MMT, 58.3% were difficult in IIG, MMT grading was close to CL grade compared to other scores. From the study we observed that Modified Mallampati Test (MMT) had highest sensitivity, Negative predictive value, Accuracy and almost perfect Kappa agreement. Hence, we conclude that MMT was the best airway predictor is for predicting difficult intubation when taken as a single clinical parameter over other measurements.
How to cite this article:
Y. Prajwala, D. Devika Rani, M. Madhura and N. Suvina. Determine Difficulty in Intubation By Using CL Grade and to Determine Validity of Inter Incisor Gap, Modified Mallampati Test.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.336.340
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.336.340