Predictors of Intubation in Children

Objective To estimate the relation of mentohyoid, thyromental and sternomental distances to height, weight and age of children with normal airway. Methods We carried out a prospective, double blind pilot study in 400 children posted for elective surgery to measure mentohyoid, thyromental and sternom...

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Bibliographic Details
Published in:Indian journal of pediatrics 2010-12, Vol.77 (12), p.1392-1394
Main Authors: Nikhar, Sapna A., Grover, Vinod K., Mathew, Preethy Joseph
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Biological and medical sciences
Body Height
Body Weight
Child
Child, Preschool
Double-Blind Method
Elective Surgical Procedures
Female
General aspects
Gynecology
Humans
Hyoid Bone
Intubation, Intratracheal
Laryngeal Cartilages
Male
Medical sciences
Medicine
Medicine & Public Health
Original Article
Pediatrics
Pilot Projects
Predictive Value of Tests
Sex Factors
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Summary:Objective To estimate the relation of mentohyoid, thyromental and sternomental distances to height, weight and age of children with normal airway. Methods We carried out a prospective, double blind pilot study in 400 children posted for elective surgery to measure mentohyoid, thyromental and sternomental distances pre-operatively followed by intra-op evaluation of intubation using Cormack and Lehane grading. Results On assessing the contribution of age, height and weight to predict mentohyoid, thyromental and sternomental distances in children, the best predictor was found to be height ( p  = 0.001)followed by age ( p  = 0.04)of the patient. Conclusion We have derived simple formulae to predict mentohyoid, thyromental and sternomental distances relevant to airway based on height and age of children.
ISSN:0019-5456
0973-7693
DOI:10.1007/s12098-010-0180-4