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COMMENTS ON PUBLISHED ARTICLE
Year : 2014  |  Volume : 58  |  Issue : 6  |  Page : 791  

Palm print sign in prediction of difficult laryngoscopy in diabetes


1 Medical Centre, Shantou, Guangdong, China
2 Hainan Medical University, Haikou, Hainan, China

Date of Web Publication17-Dec-2014

Correspondence Address:
Sim Sai Tin
Medical Centre, Shantou, Guangdong
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.147193

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How to cite this article:
Tin SS, Wiwanitkit V. Palm print sign in prediction of difficult laryngoscopy in diabetes. Indian J Anaesth 2014;58:791

How to cite this URL:
Tin SS, Wiwanitkit V. Palm print sign in prediction of difficult laryngoscopy in diabetes. Indian J Anaesth [serial online] 2014 [cited 2019 Dec 10];58:791. Available from: http://www.ijaweb.org/text.asp?2014/58/6/791/147193

Sir,

The report on "palm print (PP) sign in prediction of difficult laryngoscopy in diabetes [1]" is very interesting. Hashim and Thomas reported that "the PP test appears to be the most sensitive and specific in the prediction of difficult laryngoscopy in diabetic patients. [1]" In fact, the finding partially agrees with previous reports. Good sensitivity of the PP test in diabetes can be seen in many reports including the present report and that of Vani et al. [2] and Nadal et al. [3] However, the specificity of the test is not shown to be good in the previous reports. [2],[3] In medical statistics, the test that has both good sensitivity and specificity is rarely available. Finally, since the diabetic patients tend to have peripheral neuropathy, wounds on extremities can easily occur. This can limit the usefulness of of PP test in some some diabetic patients with the chronic wound on hands.

 
   References Top

1.
Hashim K, Thomas M. Sensitivity of palm print sign in prediction of difficult laryngoscopy in diabetes: A comparison with other airway indices. Indian J Anaesth 2014;58:298-302.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Vani V, Kamath SK, Naik LD. The palm print as a sensitive predictor of difficult laryngoscopy in diabetics: A comparison with other airway evaluation indices. J Postgrad Med 2000;46:75-9.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.
Nadal JL, Fernandez BG, Escobar IC, Black M, Rosenblatt WH. The palm print as a sensitive predictor of difficult laryngoscopy in diabetics. Acta Anaesthesiol Scand 1998;42:199-203.  Back to cited text no. 3
    




 

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