High levels of IGF-1 predict difficult intubation of patients with acromegaly.

ABSTRACT:

Purpose

To investigate the characteristics of difficult intubation and identify novel efficient predictors in patients with acromegaly.

Methods

Patients with either untreated acromegaly or non-functional pituitary adenomas were enrolled. Patients with acromegaly underwent hormone assays, upper airway computed tomography and magnetic resonance imaging examinations and preoperative overnight polysomnography. The modified Mallampati classification, mouth opening, neck circumference, and neck extension were assessed, and the Cormack-Lehane grades and the time of tracheal intubation were recorded.

Results

Patients with acromegaly had a higher incidence of difficult intubation (62.5%). The time of tracheal intubation was prolonged, the neck circumference was enlarged, and t

SUBMITTER: Zhang Y 

PROVIDER: S-EPMC5511320 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature