Airway Management Clinical Trial
Official title:
Thyromental Height Test as a New Method for Prediction of Difficult Intubation With Double Lumen Tube
The purpose of this study is to assess the usefulness of the Thyromental Height Test in prediction of difficult intubation using double lumen endotracheal tubes in patients scheduled for elective thoracic procedures.
Proper prediction of the occurrence of difficult intubation plays a crucial role in
anaesthesiology. For years attempts have been made to develop methods allowing
anaesthesiologists to correctly predict the occurrence of difficult intubation. None of the
currently used tests and anthropometric measurements present satisfying predictive value.
Recent studies show promise in Thyromental Height Test (TMHT), which base on the height
between the anterior borders of the mentum and the thyroid cartilage, measured while the
patient lies in the supine position with closed mouth, as a single, non-invasive predictor
of difficult intubation. Use of double lumen endotracheal tubes during thoracic procedures,
due to greater diameter of the tube, may lead to higher occurrence of difficult intubation.
That is why, the purpose of this study is to assess the usefulness of the TMHT in prediction
of difficult intubation using double lumen endotracheal tubes in patients scheduled for
elective thoracic procedures and relate it to other, commonly used predictive tests.
During routine, preoperative anaesthetic visit thyromental height, thyromental distance,
sternomental distance and Mallampati scale score are assessed. Then, during direct
laryngoscopy and intubation, score in Cormack-Lehane scale and occurrence of difficult
intubation are noted.
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