The objective was to assess the predictive value of risk scale for difficult intubation in obese patients. Materials and methods. object study 110 patients (90 women 20 men) operated on as planned 2022. mean age 42 ± 11 years. median body mass index (BMI) 43.7 kg/m 2 (Q1–Q3: 37.9–49.1). All underwent a standard preoperative examination with identification airways according difficulty (IDS): mou...

BACKGROUND AND OBJECTIVE The case/problem-based learning discussion method was recently introduced into the theory-based training program for residents run by the Catalan Society of Anaesthesiology. This study was designed to assess and compare its effectiveness with that of the lecture-based approach for teaching pre-anaesthetic assessment, applying an objective tool for knowledge evaluation b...

BACKGROUND Propofol is a sedative-hypnotic with a rapid onset of action. There are only limited data evaluating propofol for flexible bronchoscopy. We analysed the feasibility and safety of propofol for bronchoscopy in a high output tertiary care centre. METHODS Prospective data on patients undergoing flexible bronchoscopy at the University Hospital Basel, Switzerland, were analysed. Patient ...

BACKGROUND AND OBJECTIVES Predictive value of preoperative tests in estimating difficult intubation may differ in the laryngeal pathologies. Patients who had undergone direct laryngoscopy (DL) were reviewed, and predictive value of preoperative tests in estimating difficult intubation was investigated. METHODS Preoperative, and intraoperative anesthesia record forms, and computerized system o...

BACKGROUND Unsedated esophagogastroduodenoscopy (EGD) is simpler and safer than sedated EGD; however, approximately 40% of patients cannot tolerate it. Early identification of patients likely to poorly tolerate unsedated EGD is valuable for improving compliance. The modified Mallampati classification (MMC) has been used to evaluate difficult tracheal intubation and laryngoscope insertion. We tr...

Submitted for publication November, 2007 Accepted for publication November, 2007 Address correspondence to: Richard B Berry, MD., Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, Florida, Box 100225 HSC University of Florida, Gainesville, Florida 32610; email: [email protected] fax: 352 379-4155 Physical examination: unremarkable except for obesity a...

BACKGROUND The transesophageal echocardiograhpy (TEE) has been studied worldwide. However, identifying additional factors on top of operator's experience and patient's cooperation which could influence the success of the procedure in unsedated patients with heart disease  is not well documented. METHODS Under the cross-sectional descriptive design, 85 target patients were fulfilling the crite...

Difficult intubation can be found in 11% of emergency tracheal intubations.1 Predictors of difficult tracheal intubation have been described, such as mouth opening, Mallampati classification, atlanto-occipital joint extension, mandibulohyoid distance, inter-incisor distance, thyromental distance, sternomental distance, obesity, and a previous history of difficult intubation.2 The occurrence of ...