• Anesthesia and analgesia · Sep 2007

    Case Reports

    Easy endotracheal intubation of a patient suffering from both Cushing's and Nelson's syndromes predicted by the upper lip bite test despite a Mallampati Class 4 airway.

    • Zahid Hussain Khan, Mahin Gharabaghian, Ferozeh Nilli, Mehdi Ghiamat, and Mostafa Mohammadi.
    • Department of Anesthesiology, School of Medicine, Medical Sciences/University of Tehran, Imam Khomeni Medical Center, Tehran, Iran. khanhzh51@yahoo.com
    • Anesth. Analg. 2007 Sep 1; 105 (3): 786-7.

    AbstractA 31-yr-old woman with concurrent Cushing's and Nelson's syndromes was scheduled for transsphenoidal hypophysectomy. The patient had generalized edema, morbid obesity, and a history of sleep apnea. Her Mallampati assessment was Class 4, suggesting very difficult intubation, but the upper lip bite test predicted easy intubation. After rapid sequence induction, there was a Class 1 view on laryngoscopy, and intubation was accomplished easily.

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