Direct Laryngoscopy Flashcards
What is the Lemon score?
L = Look externally (face trauma, large incisors etc.)
E = Evaluate 3-3-2 rule
M = Mallampati score
O = Obstruction
N = Neck mobility
What is the 3-3-2 rule?
1.) Incisor distance >3 fingers
2.) Hyoid-mental >3 fingers
3.) Thyroid-Hyoid >2 fingers
Class I Mallampati
Complete visualization of the soft palate, uvula, fauces, and pillars
Class II Mallampati
Complete visualization of the soft palate, uvula, and fauces
Class III Mallampati
Only a partial view of the soft palate and uvula
Class IIII Mallampati
The soft palate is not visible
Conditions of Mallampati score
1.) Patient cooperation
2.) Must be sitting upright
3.) Open mouth as much as you can
4.) Stick tongue out at you
Pierre Robin Syndrome
Underdeveloped jaw, backward displacement of tongue and upper airway obstruction
Goldenhar Syndrome
Incomplete development of bones in the face affecting the ears, nose, soft palate, lips, and jaw. Typically only on one side
Treacher Collins Syndrome
Genetic condition affecting the way the face develops - especially cheekbones, jaws, ears, and eyelids. Small jaw and chin
Epiglottitis
Inflammation and swelling of the epiglottis
Abscess/Ludwigs angina
bacterial infection that occurs in the floor of the mouth, under the tongue
Goiter
enlarged thyroid gland due to iodine deficiencies
Sensitivity
Prediction of a positive assessment
Specificity
Prediction of a negative assessment