Preeklamptik Gebede Havayolunun Değerlendirilmesi

Abstract

Obstetric patients are under much risk compared to normal population in terms of difficult airway incidence. In cases of hypertension accompanied pregnancies like preeclampsia, this risk increases even more. In case of difficult or unsuccessful ventilation and intubation, there could be life threatening cases for maternal and fetal life. In this patient group with a difficult airway expectancy, pre-op detailed airway examination is crucial. In this study, we aimed to compare Mallampati Classification which is used in difficult airway examination, thyromental distance, neck circumference and with the help of ultrasound (USG) skin to hyoid distance, skin to epiglottis distance and anterior measurement of tongue base and also Optic Nerve Sheath Diameter (ONSD) in preeclampsia diagnosed (n:20) and normal pregnant woman with no internal disease (n:20), during c-section and at postoperatif 48th hours. 40 Patients who are in ASA II-III group, have single pregnancy are included to this case control and prospective study. Study is conducted with an anaesthetic assistant with 4 years of experience. At the end of our study both preeclamptic pregnancy group and normal pregnant group; ONSD, Mallampati Score and skin-epiglottis distance were significantly decreased at 48th hour postoperatively compared to intraoperative measurement, but no correlation was shown between the two groups. However, when preeclamptic pregnant women were examined, the skin-hyoid distance was found higher than normal pregnant women. Further clinical experience and studies with sufficient number of patients are needed to evaluate these results in depth.