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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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To Compare Airway Indices and Incidence of Difficult Intubation in Snorers and Non‐Snorers

Rakesh Paraliya, Aastha Srivastava and Gurjeet Khurana
Page: 93-97 | Received 07 Oct 2023, Published online: 29 Oct 2023

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Abstract

The aim of the study was to evaluate the relationship between different airway indices and history of snoring in patients under general anesthesia with prediction of difficulty in tracheal intubation. 145 patients aged 16‐60 years of either sex, ASA I/II who presented for elective surgical procedures requiring general anesthesia with endotracheal intubation were included in the study. Preanesthetic check up with history of snoring and measurement of airway indices was done by an experienced anesthesiologist. After induction of anesthesia laryngoscopy was done and the CL Grading, IDS, duration of laryngoscopy, number of attempts, change of blade, number of operators was noted by a single experienced anesthesiologist who was unaware of the intervention. The incidence of snoring increased significantly with age and a female predominance was seen. Higher ASA grade, increased BMI, decreased TMD, SMD was less among snorers than non snorers which was statistically highly significant with increased risk for difficult intubation. Neck circumference was identified as an independent predictor for difficult intubation in snorers. Increase in the Neck circumference increased the Difficult intubation (DI) by 0.036 units. Higher grades of CL grade was associated with difficult intubation and identified as an independent predictor for difficult intubation. Snoring had an association with age, female gender, BMI and ASA grade. Snorers had a larger neck circumference, smaller thyromental and mandibulohyoid distance as compared to non‐snorers. This prediction of difficult airway may lead to a better anticipation of difficult airway management.


How to cite this article:

Rakesh Paraliya, Aastha Srivastava and Gurjeet Khurana. To Compare Airway Indices and Incidence of Difficult Intubation in Snorers and Non‐Snorers.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.93.97
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.93.97