Evidence map›Paper›PMID 40687965›Full record

ArticleIndian journal of anaesthesia2025

Can point-of-care ultrasound predict the difficulty in intubation? - A prospective observational study.

Roopali Phulli, Samarjit Dey, Indubala Maurya, Praveen K Neema, Habib Md Reazaul Karim, H N Lohith Kumar

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Airway and Endotracheal Tubes: Role of POCUS.Indian journal of pediatrics · 2026
    Review
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Roopali PhulliDepartment of Anaesthesiology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, India.ORCID https://orcid.org/0000-0002-7863-3604
Samarjit DeyDepartment of Anaesthesiology, AIIMS, Mangalagiri, Andhra Pradesh, India.ORCID https://orcid.org/0000-0001-8211-253X
Indubala MauryaDepartment of Anaesthesiology, Kalyan Singh Super Speciality Cancer Institute, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-3593-2313
Praveen K NeemaDepartment of Cardiac Anaesthesia, Amrita Institute of Medical Sciences, Kochi, Kerala, India.ORCID https://orcid.org/0000-0001-7139-4842
Habib Md Reazaul KarimDepartment of Anaesthesiology, AIIMS, Raipur, Chhattisgarh, India.ORCID https://orcid.org/0000-0002-6632-0491
H N Lohith KumarDepartment of Anaesthesiology, AIIMS, Raipur, Chhattisgarh, India.ORCID https://orcid.org/0000-0003-0154-9559

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Airway ultrasonography (USG) parameters have been used to predict difficult tracheal intubation. However, the available literature on this topic is still controversial. This study aims to assess the role of preoperative airway USG parameters, namely hyomental distance in the head neutral (HMDn), head extended position (HMDe) and their ratio (HMDR), pre-epiglottic space (PreE), and the distance from the epiglottis to the vocal cords midpoint (E-VC) and their ratio (PreE/E-VC), in predicting difficult intubation. Methods: This prospective observational study was conducted on 190 patients. Preoperative USG airway parameters were measured. The primary outcome was to correlate these USG parameters with the Cormack-Lehane (CL) grade. The secondary outcome was to correlate these USG parameters with the intubation difficulty score (IDS). Kendall's tau correlation test and receiver operating characteristic curve analysis were performed. Results: A positive correlation was observed between PreE/E-VC ratio and CL grade [Kendall's tau: 0.423 (95% confidence interval (CI): 0.326, 0.513; Conclusion: The USG measurement of the PreE/E-VC ratio correlated with CL grade and IDS, while HMDR poorly correlated with CL grade and IDS and thus failed to predict difficult intubation.

Indexed as

AnaesthesiaCormack-Lehanehyomental distanceintubationintubation difficulty scorelarynxPOCUSpre-epiglottic spacetracheaultrasonographyvocal cords

Identifiers

PMID40687965
PMCPMC12275219

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.