Khan Mohammad Nasir Ayub, Rabbani Mohammad Zafar, Qureshi Rashid, Zubair Muhammad, Zafar Muhammad Jawad
Department of Anaesthesia, Shifa International Hospital, Islamabad.
J Pak Med Assoc. 2010 Sep;60(9):736-8.
To evaluate the influence of goitre on anatomic features and the correlation of these changes with difficulty in intubation.
A questionnaire was employed to assess 139 patients scheduled for elective surgery of euthyroid goitre to predict the potential of difficult intubation. These measurements were later correlated with the patients who eventually had difficult intubations. Neck circumference, mouth width, lip test, sternomental distance, thymomental distance, Mallampati score and laryngeal palpation were evaluated.
All predictors were found to be significant as single predictors but on logistic regression analysis it was found that the circumference of the neck alone, was the independent predictor for difficult intubation.
Neck thickness in patients with goitre is a significant predictor of difficult intubation and should be used in preoperative assessment to anticipate difficult intubations.
评估甲状腺肿对解剖学特征的影响以及这些变化与插管困难的相关性。
采用问卷调查对139例计划接受甲状腺肿择期手术的患者进行评估，以预测潜在的插管困难。随后将这些测量结果与最终出现插管困难的患者进行相关性分析。评估了颈围、口宽、唇试验、胸骨颏距离、胸腺颏距离、马兰帕蒂评分和喉部触诊。
所有预测指标作为单一预测指标时均具有显著性，但经逻辑回归分析发现，仅颈围是插管困难的独立预测指标。
甲状腺肿患者的颈部厚度是插管困难的重要预测指标，应在术前评估中用于预测插管困难。
