By Zahid Hussain Khan (eds.)
Because of his overseas prominence, Professor Khan has been capable of assemble an enviable checklist of specialists within the box to give a contribution their adventure with airway administration in a large number of scientific settings. The serious appraisal of the airway authored via the editor, Professor Khan, units the degree for the $64000 preoperative checks that could alert the clinician of the potential of a tough airway in order that applicable plans could be made. The bold “guest checklist” of authors spans the area and encompasses clinicians from Malaysia, the U.S., Pakistan, India, Denmark, Singapore, Germany, Canada and Iran. what's both striking is the checklist of subject matters mentioned within the textbook and the numerous medical settings within which airway administration is probably going to pose specific and precise demanding situations: pediatrics; sufferers with cervical backbone harm and people with demanding mind harm; ambulatory surgical procedure; sufferers with obstructive sleep apnea and obstetric sufferers. The ebook additionally addresses the most recent in technological advances which may relief the clinician in diagnosing and dealing with the tough airway, corresponding to ultrasonography and in addition describes surgical methods to handling the tricky airway, corresponding to cricothyrotomy. eventually, underscoring the actually overseas attraction of the textbook and acknowledging the aptitude technological boundaries of the constructing global, a bankruptcy is devoted to using indigenous units in dealing with the tricky airway.
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Additional resources for Airway Management
Anesthesiology 86:316–321 35. Cattano D, Panicucci E, Paolichi A, et al (2004) Risk factor assessment of the difficult airway: an Italian survey of 1956 patients. Anesth Analg 99:1774–1779 36. Khan ZH, Gharabaghian M, Nilli F, Ghiamat M, Mohammadi M (2007) Easy endotracheal intubation of a patient suffering from both cushings and Nelson’s syndromes predicted by the upper lip bite test despite a Mallampati class 4 airway. Anesth Analg 105:786–787 37. Rock DA, Murray WB, Rout CC, Gouws E (1992) Relative risk analysis of factors associated with difficult intubation a obstetric anesthesia.
Ramadhani SAL, Mohammed LA, Rocke DA et al (1996) Sternomental distance as the sole predictor of difficult laryngoscopy in obstetric anesthesia. Br J Anaesth 77:312–316 2 Airway Assessment: A Critical Appraisal 31 51. Turkan S, Ates Y, Cuhruk H, Tekdemir I (2002) Should we reevaluate the variable for predicting the difficult airway in anesthesiology. Anesth Analg 94:1340–1344 52. Urakami Y, Takenaka I, Nakamura M, Fukuyama H, Aoyama K, Kadoya T (2002) The reliability of the Bellhouse test for evaluating extension capacity of the occipito atlanto axial complex.
A high ULBT score was found to have a direct correlation with difficult mask ventilation as depicted by its high Se and odds radio . The search for a predictive airway test that has the ease of applicability, reliability and accuracy of prediction(discriminating power) continues. The ULBT seems to meet all these quality factors. Increased inter observer reliability compared with the Mallampati score may be another major advantage of the ULBT. Radiological Measurements Cass and James  referring to the causes of intubation in their cases enumerated them after x-ray findings as under: (1) short muscular neck with a full set of teeth, (2) receding lower jaws, (3) obtuse mandibular angles, (4) protruding upper incisors, (5) relative overgrowth of the premaxilla, (6) poor mobility of the mandible due to temporo-mandibular arthritis or trismus, (7) large mandible, (8) short descending ramus of the mandible, (9) high arched palate associated with a long narrow mouth (resulting in less space between the angles of the mandible posteriorly), (10) increased alveolar-mental distance, necessitating wider opening of the mandible during direct laryngoscopy.