SlideShare a Scribd company logo
Dr Sheeba Hakak.
What is difficult intubation? ,[object Object],[object Object],[object Object]
Is predicting difficult intubation- worthwhile exercise or pointless ritual? ,[object Object]
Is it difficulty to intubate or Failure to intubate we need to measure? ,[object Object]
Is difficult intubation common? ,[object Object]
Is there a 100% specific and 100% sensitive test to predict difficult intubation? ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Does the predictibility of a test help us acurately to predict difficulty of intubation? ,[object Object],[object Object],[object Object]
So rather than wasting our time on thinking about difficult or not difficult intubation isn’t it better to invest on management of difficult intubation.
Why Check Ventilation before Neuromuscular Blockade? ,[object Object],[object Object]
Our practices and beliefs… ,[object Object],[object Object]
Airway Guidelines ,[object Object]
Question??? ,[object Object],[object Object],[object Object]
Facts ,[object Object],[object Object]
Facts  continue…. ,[object Object],[object Object]
Facts  Continue….. ,[object Object]
Definitely not acceptable… ,[object Object],[object Object]
But if you think it is going to be easy…you have administered propofol  ,[object Object],[object Object],[object Object]
Believe me if you are still fearful ,[object Object],[object Object]
Study done by R.H.Bromhead and his colleagues ,[object Object],[object Object]
Results ,[object Object],[object Object],[object Object],[object Object]
Results continue…… ,[object Object],[object Object],[object Object]
Is gender of the doctor important ? ,[object Object],[object Object]
Reasons given to justify choices ,[object Object],[object Object],[object Object]
Asked if respondents changed their practice? ,[object Object],[object Object]
Technique respondents would teach to a less experienced trainee ,[object Object],[object Object],[object Object]
Non checkers who will not volunteer their technique in FRCA exam ,[object Object]
If difficult to bag and mask  ,[object Object],[object Object],[object Object]
Then administer neuromuscular blockers as soon as possible is logical, as you are not going to wake up the patient.
Khaterpal and his colleagues study in 2009 ,[object Object],[object Object]
So I leave it for you to decide ,[object Object],[object Object]

More Related Content

What's hot

Breathing circuit's
Breathing circuit'sBreathing circuit's
Breathing circuit's
Imran Sheikh
 
Circle system low flow anesthesia
Circle system low flow anesthesiaCircle system low flow anesthesia
Circle system low flow anesthesia
Drgeeta Choudhary
 
Interscalene & supraclavicular nerve blocks
Interscalene  & supraclavicular nerve blocksInterscalene  & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocks
Davis Kurian
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia care
AnaestHSNZ
 

What's hot (20)

Thrive journal club crh
Thrive   journal club crhThrive   journal club crh
Thrive journal club crh
 
PAEDIATRIC AIRWAY
PAEDIATRIC AIRWAYPAEDIATRIC AIRWAY
PAEDIATRIC AIRWAY
 
Central neuroaxial blockade
Central neuroaxial blockade Central neuroaxial blockade
Central neuroaxial blockade
 
Breathing circuit's
Breathing circuit'sBreathing circuit's
Breathing circuit's
 
Circle system low flow anesthesia
Circle system low flow anesthesiaCircle system low flow anesthesia
Circle system low flow anesthesia
 
Airway assessment
Airway assessmentAirway assessment
Airway assessment
 
Safety features in anesthesia machine
Safety features in anesthesia machineSafety features in anesthesia machine
Safety features in anesthesia machine
 
Management of intraoperative bronchospasm
Management of intraoperative bronchospasmManagement of intraoperative bronchospasm
Management of intraoperative bronchospasm
 
Tonsillectomy - anaesthetic consideration
Tonsillectomy - anaesthetic considerationTonsillectomy - anaesthetic consideration
Tonsillectomy - anaesthetic consideration
 
Double Lumen Endobronchial Tubes ppt
Double Lumen Endobronchial Tubes pptDouble Lumen Endobronchial Tubes ppt
Double Lumen Endobronchial Tubes ppt
 
Anaesthetic management of ruptured ectopic pregnancy by Arowojolu Boluwaji
Anaesthetic management of ruptured ectopic pregnancy by Arowojolu BoluwajiAnaesthetic management of ruptured ectopic pregnancy by Arowojolu Boluwaji
Anaesthetic management of ruptured ectopic pregnancy by Arowojolu Boluwaji
 
anaesthetic management of Meningomyelocele and its Surgical excision
anaesthetic management of Meningomyelocele and its  Surgical excision anaesthetic management of Meningomyelocele and its  Surgical excision
anaesthetic management of Meningomyelocele and its Surgical excision
 
Interscalene & supraclavicular nerve blocks
Interscalene  & supraclavicular nerve blocksInterscalene  & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocks
 
Double lumen tubes
Double lumen tubesDouble lumen tubes
Double lumen tubes
 
Anaesthetic management of tracheoesophageal fistula and congenital diaphragmatic
Anaesthetic management of tracheoesophageal fistula and congenital diaphragmaticAnaesthetic management of tracheoesophageal fistula and congenital diaphragmatic
Anaesthetic management of tracheoesophageal fistula and congenital diaphragmatic
 
Anesthesia for laryngectomy
Anesthesia for laryngectomyAnesthesia for laryngectomy
Anesthesia for laryngectomy
 
anaesthesia consideration for Ent surgery
anaesthesia consideration for Ent surgery anaesthesia consideration for Ent surgery
anaesthesia consideration for Ent surgery
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia care
 
Post extubation stridor
Post extubation stridorPost extubation stridor
Post extubation stridor
 
Videolaryngoscopes for tracheal intubation
Videolaryngoscopes for tracheal intubationVideolaryngoscopes for tracheal intubation
Videolaryngoscopes for tracheal intubation
 

Viewers also liked

Caeserean section complicated by mitral stenosis
Caeserean section complicated by mitral stenosisCaeserean section complicated by mitral stenosis
Caeserean section complicated by mitral stenosis
Dhritiman Chakrabarti
 
Anaesthesia for congenital heart disease
Anaesthesia for congenital heart diseaseAnaesthesia for congenital heart disease
Anaesthesia for congenital heart disease
Dhritiman Chakrabarti
 

Viewers also liked (20)

Anaesthetic management of obstetric emergencies
Anaesthetic management of obstetric emergenciesAnaesthetic management of obstetric emergencies
Anaesthetic management of obstetric emergencies
 
Cosyntrophin for pdph
Cosyntrophin for pdphCosyntrophin for pdph
Cosyntrophin for pdph
 
Arrhythmias final
Arrhythmias finalArrhythmias final
Arrhythmias final
 
Lap anesthesia
Lap anesthesiaLap anesthesia
Lap anesthesia
 
Ards goals
Ards goalsArds goals
Ards goals
 
Emergency warfarin reversal a
Emergency warfarin reversal aEmergency warfarin reversal a
Emergency warfarin reversal a
 
Spina bifida and epidural anaesthesia
Spina bifida  and epidural anaesthesiaSpina bifida  and epidural anaesthesia
Spina bifida and epidural anaesthesia
 
Anaesthesia for wrong site surgery
Anaesthesia for wrong site surgeryAnaesthesia for wrong site surgery
Anaesthesia for wrong site surgery
 
Valvularheartdisease 101005111315-phpapp01
Valvularheartdisease 101005111315-phpapp01Valvularheartdisease 101005111315-phpapp01
Valvularheartdisease 101005111315-phpapp01
 
Cystic fibrosis anaesthesia presentation
Cystic fibrosis anaesthesia presentation Cystic fibrosis anaesthesia presentation
Cystic fibrosis anaesthesia presentation
 
Acute liver failure in icu
Acute liver failure in icuAcute liver failure in icu
Acute liver failure in icu
 
Breathing systems
Breathing systemsBreathing systems
Breathing systems
 
Thrombectomy for ischemic stroke and anaesthesia
Thrombectomy for ischemic stroke and anaesthesiaThrombectomy for ischemic stroke and anaesthesia
Thrombectomy for ischemic stroke and anaesthesia
 
Sickle cell ppt
Sickle cell pptSickle cell ppt
Sickle cell ppt
 
Difficult airway management for nursing staff
Difficult airway management for nursing staffDifficult airway management for nursing staff
Difficult airway management for nursing staff
 
Rhabdomyolysis
RhabdomyolysisRhabdomyolysis
Rhabdomyolysis
 
Caeserean section complicated by mitral stenosis
Caeserean section complicated by mitral stenosisCaeserean section complicated by mitral stenosis
Caeserean section complicated by mitral stenosis
 
Anesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart DiseaseAnesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart Disease
 
Anaesthesia for congenital heart disease
Anaesthesia for congenital heart diseaseAnaesthesia for congenital heart disease
Anaesthesia for congenital heart disease
 
Transurethral resection of the prostate
Transurethral resection of the prostateTransurethral resection of the prostate
Transurethral resection of the prostate
 

Similar to Predicting difficult intubation

Vijayalakshmi 140806143456-phpapp01
Vijayalakshmi 140806143456-phpapp01Vijayalakshmi 140806143456-phpapp01
Vijayalakshmi 140806143456-phpapp01
jiljobabu
 
Anesthetic Emergence
Anesthetic EmergenceAnesthetic Emergence
Anesthetic Emergence
epstej04
 
Airway management
Airway managementAirway management
Airway management
yashvir
 
20090607_1030_PediatricSedationPearls.ppt
20090607_1030_PediatricSedationPearls.ppt20090607_1030_PediatricSedationPearls.ppt
20090607_1030_PediatricSedationPearls.ppt
BssamMohamed2
 
Stephanie wolff
Stephanie wolffStephanie wolff
Stephanie wolff
COT SSNP
 
Focused Neurological Assessment
Focused  Neurological  AssessmentFocused  Neurological  Assessment
Focused Neurological Assessment
qatifphysio
 

Similar to Predicting difficult intubation (20)

Rapid Sequence Intubation
Rapid Sequence IntubationRapid Sequence Intubation
Rapid Sequence Intubation
 
PAP Therapy Compliance
PAP Therapy CompliancePAP Therapy Compliance
PAP Therapy Compliance
 
Vijayalakshmi 140806143456-phpapp01
Vijayalakshmi 140806143456-phpapp01Vijayalakshmi 140806143456-phpapp01
Vijayalakshmi 140806143456-phpapp01
 
Anesthetic Emergence
Anesthetic EmergenceAnesthetic Emergence
Anesthetic Emergence
 
Peri arrest scenario in pregnancy
Peri arrest scenario in pregnancyPeri arrest scenario in pregnancy
Peri arrest scenario in pregnancy
 
Vijayalakshmi Pillai Labor Room Protocols
Vijayalakshmi Pillai Labor Room Protocols Vijayalakshmi Pillai Labor Room Protocols
Vijayalakshmi Pillai Labor Room Protocols
 
Local Analgesia in Children.ppt
Local Analgesia in Children.pptLocal Analgesia in Children.ppt
Local Analgesia in Children.ppt
 
Local Analgesia in Children PAEDIATRIC DENTISTRY
Local Analgesia in Children PAEDIATRIC DENTISTRYLocal Analgesia in Children PAEDIATRIC DENTISTRY
Local Analgesia in Children PAEDIATRIC DENTISTRY
 
Getting started-and-ergonomics-BY Prod/Dr Ahmed Ragab Ali
Getting started-and-ergonomics-BY Prod/Dr Ahmed Ragab AliGetting started-and-ergonomics-BY Prod/Dr Ahmed Ragab Ali
Getting started-and-ergonomics-BY Prod/Dr Ahmed Ragab Ali
 
Airway management
Airway managementAirway management
Airway management
 
20090607_1030_PediatricSedationPearls.ppt
20090607_1030_PediatricSedationPearls.ppt20090607_1030_PediatricSedationPearls.ppt
20090607_1030_PediatricSedationPearls.ppt
 
FINAL POSTER
FINAL POSTERFINAL POSTER
FINAL POSTER
 
Managing PAP patients for the long term
Managing PAP patients for the long termManaging PAP patients for the long term
Managing PAP patients for the long term
 
Patient management and compliance ssi
Patient management and compliance ssiPatient management and compliance ssi
Patient management and compliance ssi
 
Arise,awake doctors
Arise,awake doctorsArise,awake doctors
Arise,awake doctors
 
Superbugs and Bundles of Care
Superbugs and Bundles of CareSuperbugs and Bundles of Care
Superbugs and Bundles of Care
 
Pediatric pain protocol Al Razi Anesthesia department Kuwait
Pediatric pain protocol Al Razi Anesthesia department KuwaitPediatric pain protocol Al Razi Anesthesia department Kuwait
Pediatric pain protocol Al Razi Anesthesia department Kuwait
 
Stephanie wolff
Stephanie wolffStephanie wolff
Stephanie wolff
 
Focused Neurological Assessment
Focused  Neurological  AssessmentFocused  Neurological  Assessment
Focused Neurological Assessment
 
Sub arachnoid block failure
Sub arachnoid block failureSub arachnoid block failure
Sub arachnoid block failure
 

More from Wahid altaf Sheeba hakak (8)

Pediatric burns
Pediatric burnsPediatric burns
Pediatric burns
 
Anaesthetic management of obstetric emergencies
Anaesthetic management of obstetric emergenciesAnaesthetic management of obstetric emergencies
Anaesthetic management of obstetric emergencies
 
Ponv anaesthesia managment
Ponv anaesthesia managmentPonv anaesthesia managment
Ponv anaesthesia managment
 
Valvular heart disease and anaesthesia
Valvular heart disease and anaesthesiaValvular heart disease and anaesthesia
Valvular heart disease and anaesthesia
 
Fascia iliaca block for neonates
Fascia iliaca block for neonates Fascia iliaca block for neonates
Fascia iliaca block for neonates
 
Pacemaker and anaesthesia
Pacemaker and anaesthesiaPacemaker and anaesthesia
Pacemaker and anaesthesia
 
Fascia iliaca block in neonates
Fascia iliaca block in neonatesFascia iliaca block in neonates
Fascia iliaca block in neonates
 
pleural procedures and thoracic ultrasound BTS 2010 guidelines
pleural procedures and thoracic ultrasound BTS 2010 guidelinespleural procedures and thoracic ultrasound BTS 2010 guidelines
pleural procedures and thoracic ultrasound BTS 2010 guidelines
 

Recently uploaded

Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Oleg Kshivets
 
Mastering Wealth: A Path to Financial Freedom
Mastering Wealth: A Path to Financial FreedomMastering Wealth: A Path to Financial Freedom
Mastering Wealth: A Path to Financial Freedom
FatimaMary4
 

Recently uploaded (20)

Presentació "Advancing Emergency Medicine Education through Virtual Reality"
Presentació "Advancing Emergency Medicine Education through Virtual Reality"Presentació "Advancing Emergency Medicine Education through Virtual Reality"
Presentació "Advancing Emergency Medicine Education through Virtual Reality"
 
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
 
Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...
 
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxPT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
 
Anuman- An inference for helpful in diagnosis and treatment
Anuman- An inference for helpful in diagnosis and treatmentAnuman- An inference for helpful in diagnosis and treatment
Anuman- An inference for helpful in diagnosis and treatment
 
Why invest into infodemic management in health emergencies
Why invest into infodemic management in health emergenciesWhy invest into infodemic management in health emergencies
Why invest into infodemic management in health emergencies
 
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptxCURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
CURRENT HEALTH PROBLEMS AND ITS SOLUTION BY AYURVEDA.pptx
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
 
How to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for DoctorsHow to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for Doctors
 
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
 
TEST BANK For Williams' Essentials of Nutrition and Diet Therapy, 13th Editio...
TEST BANK For Williams' Essentials of Nutrition and Diet Therapy, 13th Editio...TEST BANK For Williams' Essentials of Nutrition and Diet Therapy, 13th Editio...
TEST BANK For Williams' Essentials of Nutrition and Diet Therapy, 13th Editio...
 
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
 
Effects of vaping e-cigarettes on arterial health
Effects of vaping e-cigarettes on arterial healthEffects of vaping e-cigarettes on arterial health
Effects of vaping e-cigarettes on arterial health
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 
Young at heart: Cardiovascular health stations to empower healthy lifestyle b...
Young at heart: Cardiovascular health stations to empower healthy lifestyle b...Young at heart: Cardiovascular health stations to empower healthy lifestyle b...
Young at heart: Cardiovascular health stations to empower healthy lifestyle b...
 
Temporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptx
Temporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptxTemporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptx
Temporal, Infratemporal & Pterygopalatine BY Dr.RIG.pptx
 
Mastering Wealth: A Path to Financial Freedom
Mastering Wealth: A Path to Financial FreedomMastering Wealth: A Path to Financial Freedom
Mastering Wealth: A Path to Financial Freedom
 
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
 

Predicting difficult intubation

  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. So rather than wasting our time on thinking about difficult or not difficult intubation isn’t it better to invest on management of difficult intubation.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29. Then administer neuromuscular blockers as soon as possible is logical, as you are not going to wake up the patient.
  • 30.
  • 31.