Induced nasal obstruction can cause obstructive apnoeas in healthy subjects during sleep, but the relationship between nasal resistance measured during wakefulness and obstructive sleep apnoea syndrome (OSAS) is weak. It was postulated that if the subjects could not breathe through the nose, the oral airway must be used, but if this airway is narrowed as well, then it could precipitate sleep-di...

BACKGROUND The incidence of a difficult laryngoscopy/intubation, which could lead to failed intubation is in the range of 1.5%-13%. Failed intubation may lead to hypoxia, brain damage or death. Preoperative evaluation of the airway can be accomplished by non-invasive bedside clinical tests during physical examination. We studied interobserver variability for non-invasive prediction of difficult...

conclusions the tmd, with a cut-off point of 65 mm, had superior diagnostic value compared with the hmdr and mallampati score. therefore, the tmd could be used in malay patients to predict the difficulty of larynx visualization during laryngoscopy. results difficulty in visualizing the larynx was found in 28 (10.1%) patients. the auc, sensitivity, and specificity for the three airway predictors...

Objective: This review article aims to understand the basic airway anatomy, bronchoscopy in high risk patients, premedication and performing procedure patients on anticoagulation. Basic is done by pulmonologists, intensivists, thoracic surgery, anesthesiologists. After a literature search from several databases, including PubMed, Google Scholar, Medline, Science Direct, Cochrane Library, Update...

OBJECTIVE To assess magnitude and predisposing factors of difficult airway during induction of general anaesthesia. METHODS Hospital based cross sectional study carried out to determine the incidence of difficult mask ventilation, difficult laryngoscopy (Cormack and Lehane III and IV), difficult intubation (IDS ≥ 5), and failed intubation. The association between each predisposing factor and ...

BACKGROUND This study evaluated the performance of modified Mallampati score, 3-3-2 rule and palm print in prediction of difficult intubation. METHODS In a prospective descriptive study, data from 500 patients scheduled for elective surgery under general anesthesia were collected. An anesthesiologist evaluated the airway using mentioned tests and another anesthesiologist evaluated difficult i...

Background and Objectives Nasal obstruction has been assumed to be correlated with sleep-related breathing disorder (SRBD). However, a definite correlation between nasal SRBD is still controversial. This study aimed define whether symptoms severity of the deviated septum nose (DSN) inferior turbinate hypertrophy (ITH) are SRBD. Subjects Method retrospective 60 patients’ preoperative polysomno...

introduction xeroderma pigmentosum (xp) is a rare autosomal recessive disease, which is defined by extreme sensitivity to sunlight and uv radiation and characterized by skin lesions and neuromuscular abnormalities. it is caused by a molecular defect in nucleotide excision repair genes. it has been reported that volatile anesthetics may cause genotoxic side effects or aggravation of the neurolog...

The patient had frontal bossing, micrognathia, depressed nasal bridge, high‐arched palate, multiple impacted supernumerary teeth [Figure 1], barrel‐shaped chest, cup‐shaped distal phalanges and down‐curving nails. Mouth opening was adequate but Mallampati airway grade (MP) was indeterminate. Height (135 cm) was less than 3rd percentile and weight (30 kg) was 10th percentile for her age. She had...