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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]

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Predicting difficult intubation

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  • 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.
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  • 29. Then administer neuromuscular blockers as soon as possible is logical, as you are not going to wake up the patient.
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