DOI: 10.36347/sjams.2019.v07i03.076

Pages: 1248-1251

There are various methods for assessment of difficult intubation with changing sensitivity and specificity. The aim of the present study to utilize the Cormack and Lehane scoring system and compare it with Mallampati classification for the prediction of difficult intubation in the patients undergoing elective surgical procedures in Rajiv Gandhi Institute of Medical Sciences [RIMS], Adilabad a Tertiary Care Hospital. Methods: This study was conducted in the Department of Anesthesia, Rajiv Gandhi Institute of Medical Sciences, Adilabad. Inclusion criteria were Adult patients > 18 years of either sex, those undergoing elective surgical procedures that require endotracheal intubation, Those belonging to ASA- I and II categories. Excluded patients were those less than 18 years of age, pregnant females, patients with unstable cervical spine, patients with tumor of the larynx, and those cases that did not require endotracheal intubations. Based on the inclusion and exclusion criteria during the study period, a total of (n=112) patients were studied. They were evaluated for Mallampati classification before the surgery and during the laryngoscopy for Cormack and Lehane the grades were recorded for each patient and the result were evaluated. Results: The Cormack & Lehane Grades were compared with Mallampati classification and the overall (n=75) were included in Cormack & Lehane Grade I, (n = 27) was included in Cormack & Lehane Grade II, (n=3) were included in Cormack & Lehane Grade III, and (n=2 were) included in Cormack & Lehane Grade IV. Similarly, the total number of patients with Mallampati Class I were (n=76), Mallampati Class II were (n=23), Mallampati Class III were (n=11) and Mallampati Class IV were (n=2) Out of n=112 cases 12 (10.71%) were difficult intubations and out of the total 12 difficult intubations n=6(50%) were in Cormack and Lehane Grade II, n=1 (8.33%) in grade I, n=3 (25%) in grade III and n=2 (16.67%) in grade IV. Conclusion: Within the limitations o