scholarly journals Direct laryngoscopy versus video laryngoscopy for expected difficult tracheal intubation a prospective observational study

2021 ◽  
Vol 8 (2) ◽  
pp. 277-282
Author(s):  
Venugopal Achuthan Nair ◽  
Brahmanandan Radhika Devi ◽  
Jagathnath Krishna Kumarapillai Mohanan Nair ◽  
Cherian Koshy Rachel ◽  
Munish Palliyalil Kakkolil
Keyword(s):  
Social Sciences ◽  
Tracheal Intubation ◽  
Prospective Observational Study ◽  
Elective Surgery ◽  
Difficult Tracheal Intubation ◽  
Intubation Time ◽  
Airway Assessment ◽  
Laryngeal Inlet ◽  
The Social ◽  
Spss Software

: Difficult tracheal intubation still contributes significantly to anaesthesia related morbidity and mortality. Poor visualisation of laryngeal structures and multiple attempts at intubation are the leading causes with the conventional laryngoscopes. Though the recently introduced video assisted devices have significantly improved the ease of intubation by their superior laryngeal visualisation, the duration of intubation may vary. Here we compared the ease of tracheal intubation using Macintosh conventional direct laryngoscope (DL) and C- MAC videolaryngoscope (VL) in patients with expected difficult tracheal intubation. A total of 140 patients undergoing elective surgery under general anaesthesia with Modified Mallampati Class 3 and 4 found during the preoperative airway assessment were equally recruited to either of the groups. We compared the duration of tracheal intubation, visualisation of the laryngeal inlet, additional optimising manoeuvres required, and number of attempts at intubation and incidence of oral trauma assessed at extubation between the two groups.: Analysis done using Statistical Packages for the Social Sciences (SPSS) software; Windows version 11.0 (SPSS Inc., Chicago, IL, USA). Intubation time was significantly longer in patients with VL than DL (P 0.0001) whereas visualisation of laryngeal inlet was significantly better with VL (P 0.001). Additional optimising manoeuvres (P 0.001) and incidence of oral trauma (P 0.012) were significantly less with VL whereas intubation attempts were found comparable (P 0.586).: Though VL provided significantly better laryngeal view with less need for optimising manoeuvres and less oral trauma compared to DL, the duration of intubation was significantly more with the former.

scholarly journals Predictive Values of Preoperative Tests for Difficult Laryngoscopy and Intubation in Adult Patients at Tikur Anbessa Specialized Hospital

2019 ◽  
Vol 2019 ◽  
pp. 1-13 ◽  
Author(s):  
Tadese Tamire ◽  
Habtamu Demelash ◽  
Wosenyeleh Admasu
Keyword(s):  
Tracheal Intubation ◽  
Study Design ◽  
Elective Surgery ◽  
Difficult Tracheal Intubation ◽  
Difficult Laryngoscopy ◽  
Morbidity And Mortality ◽  
Main Concern ◽  
General Anesthetics ◽  
Predictive Values ◽  
Airway Assessment

Introduction. The significance of difficult or failed tracheal intubation following induction is a well-recognized cause of morbidity and mortality in anesthetic practice. Nevertheless, the need to predict potentially difficult tracheal intubation has received a little attention. During routine anesthesia, the incidence of difficult tracheal intubation has been estimated at 1.5%–8% of general anesthetics. Difficulties in intubation have been associated with serious complications, such as brain damage or death, particularly when failed intubation has occurred. Occasionally, in a patient with a difficult airway, the anesthetist is faced with the situation where mask ventilation proves difficult or impossible. This is one of the most critical emergencies that may be faced in the practice of anesthesia. If the anesthetist can predict which patients are likely to prove difficult to intubate, he/she may reduce the risks of anesthesia considerably. In Ethiopia, there are no data on the magnitude of difficult laryngoscopic tracheal intubation and no standard guidelines for preoperative tests. The main concern of this study was to provide information on the magnitude of difficult laryngoscopic intubation and to determine valuable preoperative tests to predict difficult laryngoscopy and intubation in patients with apparently normal airways which can help anesthetists to improve preoperative airway assessment and contribute to decrease anesthesia-related morbidity and mortality. Objective. The main objective of this study was to assess the magnitude and predictive values of preoperative tests for difficult laryngoscopy and intubation, among surgical patients who underwent elective surgery under general anesthesia with endotracheal intubation in Tikur Anbessa Hospital from February 1 to March 30, 2016. Study Design. A facility-based cross-sectional study design was used. Result. In this study, we found the magnitude of difficult laryngoscopy and intubation as 13.6% and 5%, respectively. 33.3% of patients with difficult laryngoscopy were found to be difficult for intubation. Mallampati test, interincisor distance, and thyromental distance were identified to be good preoperative tests to predict difficult laryngoscopic intubation when used in combination. Recommendation. We recommend anesthesia professionals to use combination of MMC/TMD/IID for their routine preoperative airway assessment.

scholarly journals RELATIONSHIP BETWEEN IN-STORE PROMOTIONS AND CONSUMER BEHAVIOUR IN SHOPPING MALLS IN SOUTH AFRICA

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Vinessa Naidoo ◽  
◽  
Nkhumeleni Mathivha
Keyword(s):  
Social Sciences ◽  
South Africa ◽  
Consumer Behaviour ◽  
Primary Data ◽  
Shopping Malls ◽  
Price Discounts ◽  
Body Of Knowledge ◽  
The Social ◽  
Point Of Purchase ◽  
Spss Software

Promotions of products and services close to the point of purchase is a reality to many companies. These promotions include the demonstration of products, price discounts and free samples. This paper sets out to determine the influence of in-store promotions on consumer behaviour. The study sampled 200 middle-of-the-month and month-end shoppers in four of the largest shopping malls in Polokwane, South Africa among. The paper was designed along quantitative method dicta and the primary data were collected by means of a questionnaire. Data were analysed via IBM Statistical Package for the Social Sciences (SPSS) software, and presented in graphs and tables for easy interpretation. The results and knowledge gained from this study add to the existing body of knowledge in the discipline, and it might assist shop managers in finding the most suitable methods for in-store promotions. All ethical requirements were considered during the course of the study. The outcome of the study indicated a statistically significant relationship between consumer behaviour and in-store coupon offers. However, the association analysis results for the enjoyment of in-store promotions, in-store free samples, in-store buy-one-get-one-free offers, and in-store price discounts, failed to provide any evidence of association with consumer behaviour.

scholarly journals Prevalence of risk factors for breast neoplasm in the city of Maringá, Paraná state, Brazil

2010 ◽  
Vol 18 (3) ◽  
pp. 352-359 ◽  
Author(s):  
Jéssica Carvalho de Matos ◽  
Sandra Marisa Pelloso ◽  
Maria Dalva de Barros Carvalho
Keyword(s):  
Social Sciences ◽  
Risk Factors ◽  
Cross Sectional Study ◽  
Modifiable Risk Factors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Overweight Women ◽  
The Social ◽  
Spss Software ◽  
The City

The aim of this study was to identify the prevalence of the risk factors for breast cancer among women between 40 and 69 years old in the city of Maringá, Paraná State, Brazil. An analytical, exploratory and cross-sectional study was carried out through a population research at homes in Maringá. The sample was composed of 439 women between 40 and 69 years old. The data were collected by home interviews, stored using the Statistical Package for the Social Sciences (SPSS) software and presented in tables as absolute and relative frequency. The predominant ethnical group was Caucasian with an average age of 52 years. Among risk factors identified in the present study, an expressive number of overweight women were found. It is important and necessary to put in practice actions that identify the modifiable risk factors for the development of breast tumors in order to reduce morbidity and mortality levels due to this pathology.

scholarly journals Predictors of Difficult Tracheal Intubation on Adult Elective Patients in a Teaching Hospital

2016 ◽  
Vol 10 (1) ◽  
pp. 34-39
Author(s):  
Dawit Tafesse ◽  
Getu Ataro
Keyword(s):  
Tracheal Intubation ◽  
Difficult Intubation ◽  
Prospective Observational Study ◽  
Preoperative Evaluation ◽  
Preoperative Assessment ◽  
Difficult Tracheal Intubation ◽  
Adult Patients ◽  
Chi Square ◽  
Chi Square Test ◽  
Sensitivity Specificity

Background: During routine preoperative assessment of patients one of the commonest practices is predicting difficulty of tracheal intubation from various factors detected. Whether the factors reliably predict the difficulty is subject of argument. This study was conducted to assess the predictors of difficult tracheal intubation in adult patients. Methods: In this prospective observational study, we studied 120 consecutive elective adult patients admitted for general, gynecologic and orthopedic surgeries. Socio-demographic parameters and test variables such as BMI, TMD, SMD, IIG and Mallampati class were collected during preoperative evaluation. CL grade and difficulty of intubation were observed while the anesthetist in duty performs the laryngoscopy. While the former obtained from the preoperative anesthesia note, the latter were filled to questionnaire based on what the anesthetist reports during or after laryngoscopy. The prevalence of difficult intubation and the sensitivity, specificity, PPV and NPV of the tests were analyzed. SPSS-20 and different formulas were used during analysis. Chi square test was used and P<0.05 was considered as statistically significant. Result: The overall prevalence of difficult tracheal intubation was 2.5%. The sensitivity, specificity, PPV & NPV of the tests were 0%, 98.3%, 0% & 97.46% for BMI; 0%, 97.5%, 0% & 100% for SMD; 100%, 96.64%, 20% & 100% for TMD; 0%, 99.17%, 0%, & 100% for IIG; and 100%, 99.14%, 75% & 100% for Mallampati test. Conclusion: The incidence is not quite small that anesthetists should use necessary tests to predict the difficult intubation. Probably combining the tests being the best option, Mallampati test alone can predict the difficult intubation in adult patients.

scholarly journals Assessment of Airway in Patients with Acromegaly Undergoing Surgery: Predicting Successful Tracheal Intubation

2019 ◽  
Author(s):  
Indu Kapoor ◽  
Charu Mahajan ◽  
Hemanshu Prabhakar
Keyword(s):  
Tracheal Intubation ◽  
Mouth Opening ◽  
Pituitary Surgery ◽  
Difficult Tracheal Intubation ◽  
Lower Percentage ◽  
P Value ◽  
Female Ratio ◽  
Airway Assessment ◽  
Assessment Tests ◽  
Obstructive Sleep

Abstract Background In the field of anesthesia, acromegaly is considered a cause of difficult tracheal intubation and airway management. There is a high probability of unanticipated difficult intubation in acromegalic patients despite a lower percentage of patients being identified preoperatively as having a difficult airway. In this study, we carried out various airway assessment tests preoperatively and during induction of anesthesia to find out the predictors of easy tracheal intubation in patients with acromegaly. Materials and Methods All patients of either sex, diagnosed as a case of acromegaly and scheduled to undergo pituitary surgery were enrolled over a period of 3 years. Various airway assessment tests were performed prior to surgery, which included modified Mallampati (MP) classification (sitting and supine), mouth opening (MO), upper lip bite test (ULBT), neck movement (NM), thyromental (TM) distance, thyrohyoid (TH) distance, sternomental (SM) distance, hyomental (HM) distance, length of upper incisors (IL), receding mandible (RM), any history of obstructive sleep apnea (OSA), mask ventilation (MV), Cormack-Lehane (CL) III and IV, and external laryngeal manipulation (ELM). Results were reported as odds ratios (95% confidence interval [CI]). The p-value < 0.05 was considered statistically significant. Results A total of 42 patients were enrolled over a period of 3 years. The male-to-female ratio was 19:23 with a mean age of 37.95 years and mean weight of 72.7 kg. Out of 15 airway assessment parameters, only ULBT and CL grade showed significant results. Conclusion We conclude that ULBT and CL grading are reliable predictors of easy intubation in patients with acromegaly undergoing surgery.

scholarly journals A Survey to Examine Engineers’ Perspectives on Innovation and Industry 4.0

Proceedings ◽  
2021 ◽  
Vol 74 (1) ◽  
pp. 16
Author(s):  
Dilara Albayrak Serin ◽  
Ayten Yılmaz Yalçıner
Keyword(s):  
Social Sciences ◽  
Industry 4.0 ◽  
Digital Transformation ◽  
Adaptation Process ◽  
Educational Backgrounds ◽  
The Social ◽  
Spss Software

In parallel with the rise of Industry 4.0 and the developments experienced with digital transformation, there are striking differences in the concept of innovation in terms of process and effect. It is a fact that engineers have a strategic importance in transforming the changes and developments in the fields of informatics and technology, where great leaps have been experienced, into innovations in a way that creates value. Engineers examine the terms of perceptions and perspectives in this adaptation process and 120 engineers with different educational backgrounds in Turkey were surveyed in this study to assess the diversity of the innovative vision under examination. Statistical Package for the Social Sciences (SPSS)software was used for the stages of analysis.

scholarly journals Customer Intention on Islamic Home Financing Products: An Application of Theory of Planned Behavior (TPB)

2017 ◽  
Vol 8 (2) ◽  
pp. 77-86 ◽  
Author(s):  
Mohd Azizi Ibrahim ◽  
Wan Nazjmi Mohamed Fisol ◽  
Yusuf Haji-Othman
Keyword(s):  
Social Sciences ◽  
Behavioral Control ◽  
Control Level ◽  
Subjective Norm ◽  
Influential Factors ◽  
Perceived Behavioral Control ◽  
The Social ◽  
Level Of Knowledge ◽  
Spss Software ◽  
The Relationship

Abstract Islamic home financing products are completely different from conventional home loan. Conventional home loan is based on lending and working on regime of interest which is prohibited by Shari’ah. This research aims to investigate the relationship between attitude, subjective norm, perceived behavioral control, level of knowledge or awareness and religiosity with customer’s intention in choosing Islamic home financing products. In addition, this study also hopes to identify the most influential factors that affect the customer’s intention in choosing Islamic home financing products. A total of 421 sets of questionnaires were returned by respondents among bank customers in Alor Setar, Kedah. The data was analysed using the Statistical Package for the Social Sciences (SPSS software version 18). The results of this study reveals that there is a significant relationship between attitude, subjective norm, perceived behavioral control, level of knowledge or awareness and religiosity with customer’s intention in choosing Islamic home financing products. This research also verifies that religiosity is the most important factor that affects the customer’s intention in choosing Islamic home financing products.

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