difficult airway
Markers for difficult mask ventilation
ï€ 55 years and older
ï€ Body mass index > 26 kg/m2
ï€ Absence of teeth
ï€ Beard
ï€ History of snoring
Markers for difficult airway
ï€ Obstructive sleep apnea, history of snoring, obesity
ï€ Wide neck circumference
ï€ Thyromental distance less than 7 cm with head extended
ï€ High Mallampati scores
ï€ Big language
ï€ Inability of the mandible to protrude or lower teeth ahead of the upper teeth
ï€ Face and neck deformity from previous surgery
ï€ Head and neck trauma
ï€ Previous head and neck radiation
ï€ Head and neck congenital anomalies
ï€ Rheumatoid arthritis
ï€ Down syndrome
ï€ Scleroderma
ï€ 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.