Predicting Difficult Airway in Children
Predicting Difficult Airway in Children
Background: Obtaining airway security holds the utmost importance in anesthesia. Specific
 predictive tests or findings for difficult airway are not defined for various pediatric age
 groups. Anthropometric measurements are defined parallel to percentile curves in different
 age groups.

 Aim: The aim of this study is to find out the value of body mass index and anthropometric
 measurements in prediction of difficult laryngoscopy in children by comparing to direct
 laryngoscopic evaluation of Cormack-Lehane test.

 Methods: Following institutional ethics committee approval and informed consent of parents of
 108 patients (ages 0-3years), undergoing elective surgery were included in this study.
 Weight, height, body mass index and head circumference of the patients were measured and
 percentiles were recorded, prior to induction.

 Following standard anesthesia induction with thiopental all patients received 0,6 mg.kg-1
 rocuronium intravenously. After sufficient time for neuromuscular relaxation laryngoscopy
 performed and Cormack-Lehane scores recorded. All recorded parameters were compared with
 Cormack-Lehane scores.
Inclusion Criteria:

 -  0-3 years old (1-36 mounts) pediatric patients

 -  Patients 0-3 age years old with ASA I, undergoing elective surgery were included in
 this study

 Exclusion Criteria:

 -  Patients with known syndrome, facial anomaly, ASA score above 2 and laryngeal mask
 aiway were excluded from the study