Airway Flashcards
Cormack-Lehane
1-4
3,4 are correlated with difficult or failed airways
C-L 1
Visualization of nearly the entire glottic aperture
C-L 2
Visualization of posterior cords and arytenoids
C-L 3
Epiglottis only visible
C-L 4
No glottic structures visible
Arytenoids
Era te noid
LEMON
Look external - overall feel for if it will be difficult
Evaluate 3-3-2 mouth, mentum to chin-neck, chin-neck and thyroid notch
Mallampati
Obstruction
Neck mobility
Mallampati
Class 1,2 easy tubes 4 is 10% fail rate Open mouth wide with tongue all the way out without phonating 1-pillars 2-fauces 3-base of uvula 4-hard palate only
4 cardinal signs airway obstruction
Hot potato voice
Difficulty swallowing
Stridor
Sensation of dyspnea
MOANS BVM
Mask seal/male/mallampati Obesity/obstruction Age No teeth Stiff/snoring
RODS for extra glottic airway
Restricted mouth opening
Obstruction obesity
Disrupted/distorted airway
Stiff
SMART for crics
Surgery recent or remote Mass Access/anatomy Radiation (and other deformity or scarring) Tumah!
Crash airway pt
Unconscious, near death, expected to be unresponsive to laryngoscopes