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Evaluation of the Airway

 difficult airway

Markers for difficult mask ventilation

 55 years and older

 Body mass index > 26 kg/m2

 Absence of teeth

 Beard

 History of snoring

Markers for difficult airway

 Obstructive sleep apnea, history of snoring, obesity

 Wide neck circumference

 Thyromental distance less than 7 cm with head extended

 High Mallampati scores

 Big language

 Inability of the mandible to protrude or lower teeth ahead of the upper teeth

 Face and neck deformity from previous surgery

 Head and neck trauma

 Previous head and neck radiation

 Head and neck congenital anomalies

 Rheumatoid arthritis

 Down syndrome

 Scleroderma

 Cervical spine diseases and previous surgery


Mallampati classification

Class 1: The soft palate, uvula and pleats can be seen.

Class 2: The soft palate and uvula are visible.

Class 3: The soft palate and base of the uvula are visible.

Class 4: The soft palate cannot be seen.

Difficult ventilation and difficult intubation should be expected in Mallampati class IV.


Cormac and Lehane classification

Grade 1: The entire glottis is visible.

Grade 2: Glottis partially visible.

Grade 3: Only the epiglottis is visible.

Grade 4: The epiglottis is also not visible.


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