International Journal of Medical Anesthesiology
  • Printed Journal
  • Refereed Journal
  • Peer Reviewed Journal
P-ISSN: 2664-3766
E-ISSN: 2664-3774
Journal is inviting manuscripts for its coming issue. Contact us for more details.

International Journal of Medical Anesthesiology

2022, Vol. 5, Issue 2, Part A
The study of head elevated position for prediction of intubation difficulty using video laryngoscope in adult patients


Author(s): Dr. Vaishali Mohod, Dr. Anisha Venugopal Suvarna and Dr. S Udhayasankar

Abstract: Background and Aim: Proper positioning of the head and neck is one of the most important steps towards laryngoscopy and tracheal intubation. We aimed to determine the effect of head elevation on the quality of laryngeal view and ease of intubation using video laryngoscopy.Method: In this prospective observational study, 100 patients who were ASA grade I/II between 18 years and 60 years with anticipated easy intubation were placed on a surgical table with non-compressible pillows under the head till horizontal alignment was achieved between the external auditory meatus and the sternal notch and the pillow height was measured. The Glottic visualization was assessed by using the modified Cormack Lehane classification and the Percentage of glottic opening (POGO) score. Intubation difficulty was assessed by the Intubation Difficulty Scale (IDS).Results: None of the patients in the study had CL Grade > 2, POGO score <50%, and IDS > 3. The mean pillow height of patients with POGO score 100% was 9.27 ± 1.27 and with POGO score 50% was 10.5 ± 1.20 (p< 0.001). Similarly, the mean pillow height of patients with CL Grade I was 9.27 ± 1.23 cm and with CL Grade II was 10.44 ± 1.20 (p< 0.001) which was highly significant. Conclusion: We concluded that alignment of the external auditory meatus and sternal notch in the horizontal plane resulted in better visualisation of the glottis and ease of intubation using a video laryngoscope. A pillow height of approximately 9cm was optimum while intubating.

DOI: 10.33545/26643766.2022.v5.i2a.345

Pages: 20-24 | Views: 33 | Downloads: 20

Download Full Article: Click Here
How to cite this article:
Dr. Vaishali Mohod, Dr. Anisha Venugopal Suvarna, Dr. S Udhayasankar. The study of head elevated position for prediction of intubation difficulty using video laryngoscope in adult patients. Int J Med Anesthesiology 2022;5(2):20-24. DOI: 10.33545/26643766.2022.v5.i2a.345
International Journal of Medical Anesthesiology