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Title

Comparative Evaluation of Diffi cult Intubation Predictors in Children Under Two Years of Ages

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  0-0

Abstract

 Background: Tracheal intubation is the most reliable way of securing an airway. Pediatric Airway Management is one of the signifi cant challenges, especially for non-pediatric anesthesiologists. Early airway evaluation for detecting diffi cult intubation and preventing catastrophic events is necessary before anesthesia, especially in Children. Objectives: Therefore, this study was done to compare some valuable adult predictors in Children under two years of age. Methods: This prospective descriptive-analytical study was performed on 405 Children under two years of age that were referred for elective surgery under general anesthesia with endotracheal intubation in Imam Hossein Hospital, Isfahan. Under sedation in a supine position, we measured items, including age, weight, height, stern omental distance (SMD), mouth opening (MO), neck circumference (NC), acromio-axillo-suprasternal notch index (AASI), and intubation diffi culty scale score (IDS). An expert anesthesiologist did laryngoscopy and intubation, and diffi cult cases were recorded. Results: Our study showed that the frequency of diffi cult intubation with IDS > 4 was %16, and with IDS > 5 was %3. The variables, including age, weight, height, and SMD, signifi cantly predicted diffi cult intubation. The cut-off points for age < 6 months, weight < 5/9 kg, height < 61 cm, and SMD < 5/3 cm were obtained, respectively. Other variables, such as MO, AASI, NC, and sex, were unreliable predictors for diffi cult intubation. Conclusions: We found that IDS > 4, age< 6-month, weight < 5/9 kg, and SMD < 5/3 cm are predictors for diffi cult intubation. It is helpful for the anesthesiologist to measure these predictions before anesthesia is started to fi nd who has diffi cult intubation.

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    APA: Copy

    Shahhosseini, Sedighe, Montasery, Mohammad, Saadati, Mohammadali, & SHAFA, AMIR. (2021). Comparative Evaluation of Diffi cult Intubation Predictors in Children Under Two Years of Ages. ANESTHESIOLOGY AND PAIN MEDICINE, 11(6), 0-0. SID. https://sid.ir/paper/975689/en

    Vancouver: Copy

    Shahhosseini Sedighe, Montasery Mohammad, Saadati Mohammadali, SHAFA AMIR. Comparative Evaluation of Diffi cult Intubation Predictors in Children Under Two Years of Ages. ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2021;11(6):0-0. Available from: https://sid.ir/paper/975689/en

    IEEE: Copy

    Sedighe Shahhosseini, Mohammad Montasery, Mohammadali Saadati, and AMIR SHAFA, “Comparative Evaluation of Diffi cult Intubation Predictors in Children Under Two Years of Ages,” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 11, no. 6, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/975689/en

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