Skip to content

How should the findings from NAP4 on SADs be considered in the pre-hospital environment?

Minerva Anestesiol. 2012 Nov 22. [Epub ahead of print]

Mallampati Class Does Not Affect the Success Rate of Intubation Through an Intubating Laryngeal Mask Airway with Reverse Tracheal Tube Direction.

Ye LWong DTLiu JZhu T.

Source

, Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan Province,610041, P.R.China – xwtao.zhu@gmail.com.

Abstract

BACKGROUND:To assess whether the Mallampati class can affect the success rate of intubation through an intubating laryngeal mask airway (ILMA) with a reverse conventional tracheal tube direction.

METHODS:

Two-hundred ASA I-II adults, 100 patients with Mallampati class 1 or 2 (MP12) and 100 with Mallampati class 3 or 4 (MP34)., undergoing elective surgery under general anesthesia were enrolled. All the patients were intubated through the ILMA with a reverse conventional tracheal tube direction. Tracheal intubation was considered successful if proper tracheal positioning was attained within three attempts. Chi- Square analysis was used to compare categorical variables between the two groups.

RESULTS:

Tracheal intubation was successful in 186 of 200 patients (93.0%): 169 (84.5%) at the first attempt. Fourteen (7.0%) had to be intubated using direct laryngoscope. Both the first attempt success rate and overall success rate were similar between the MP12 and MP34 groups (84.0 vs. 85.0%, p=0.845 and 93.0 vs. 93.0%, respectively).

CONCLUSION:

Tracheal intubation was successful in 93.0% of patients through an ILMA with a reverse conventional tracheal tube. Mallampati class did not affect the success rate of intubation.

One Comment Post a comment

Trackbacks & Pingbacks

  1. The LITFL Review 086

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

DrGDH

Or "How I'm Learning to Stop Worrying and Love Emergency Medicine"

Pondering EM

One junior EM doc's journey through the curious world of Emergency Medicine...

rain0021

A great WordPress.com site

Genevieve's anthology

Writings to amuse, teach, inspire and entertain.

JR Paramedic

Prehospital and retrieval medicine blog

Prehospital and retrieval medicine blog

Keeweedoc

A topnotch WordPress.com site

BoringEM

Bringing the boring to emergency medicine

resusNautics

Navigating resuscitation

Doctor's bag

by Dr Edwin Kruys

Prehospital and retrieval medicine blog

Prehospital and retrieval medicine blog

ETM Course

Emergency Trauma Management Course

The Doctor's Dilemma

Modern Medical Musings from Dr Marlene Pearce

Sim and Choppers

A blog combining medical education, simulation and helicopter retrieval medicine

GreenGP

Reflections of a Rural GP

Auckland HEMS

Unofficial site for prehospital care providers of the Auckland HEMS service

Rural Doctors Net

useful resources for rural clinicians

expensivecare

Searching for the big picture in intensive care

Nomadic GP

Adventures of a Rural Locum

Follow

Get every new post delivered to your Inbox.

Join 5,856 other followers

%d bloggers like this: