ArticleJournal of pharmacy & bioallied sciences2026
Evaluation of the Acromio-Axillo-Suprasternal Notch Index as a Predictor of Difficult Laryngoscopy in Pediatric Patients: An Observational Study.
Article in Journal of pharmacy & bioallied sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and Objective: Predicting difficult endotracheal intubation in the pediatric population remains a challenge for anesthesiologists as limited cooperation, unique anatomical conditions, congenital abnormalities, and lack of appropriately sized airway equipment pose additional challenges. Acromioaxillo suprasternal notch index (AASI) has emerged as a promising tool requiring minimal patient cooperation, making it suitable for pediatric use. The objective of the study is to evaluate the effectiveness of AASI in predicting difficult laryngoscopy in children aged 2-10 years undergoing general anesthesia with endotracheal intubation. Materials and Methods: The cross-sectional observational study was conducted in children ( Results: The mean age of the children was 5.92 ± 2.88 years, with the majority being girls (70.91%). Increased AASI score, number of intubation attempts, and increased laryngeal pressure were significantly associated with difficult laryngoscopy. A moderate positive correlation was found between AASI and the Cormack-Lehane score ( Conclusion: AASI is a good predictor of difficult laryngoscopy in children aged 2-10 years. It can serve as a valuable preoperative screening tool for identifying high-risk patients.
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