Mallampati Classification Flashcards

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Questions and Answers

What does a Class I view indicate?

  • Soft palate is not visible at all
  • Only the posterior portion of the glottis is visible
  • Only the epiglottis is visible
  • Ease of intubation and correlates with a laryngoscopic view grade I (correct)

What does a Class IV view suggest?

  • Ease of intubation
  • A poor laryngoscopic view, grade III or IV (correct)
  • Only the epiglottis is visible
  • Good visibility of the soft palate

What does a Class I classification indicate?

Visualization of the soft palate, fauces, uvula, anterior and posterior pillars

What does a Class II classification indicate?

<p>Visualization of the soft palate, fauces and uvula</p> Signup and view all the answers

What does a Class III classification indicate?

<p>Visualization of the soft palate and the base of the uvula</p> Signup and view all the answers

What does a Class IV classification indicate?

<p>Soft palate is not visible at all</p> Signup and view all the answers

What is the Upper Lip Bite Test also known as?

<p>Mandibular protrusion test</p> Signup and view all the answers

What does Class A in the Mandibular Protrusion Test indicate?

<p>Lower incisor can be protruded anterior to upper incisor (A)</p> Signup and view all the answers

What does Class C in the Mandibular Protrusion Test indicate?

<p>Lower incisor can not be brought edge to edge (B)</p> Signup and view all the answers

What are some predictors of a difficult airway?

<p>1.) Short muscular neck; 2.) Protruding incisors; 3.) Long, high, arched palate; 4.) Receding lower jaw; 5.) Poor mobility of the mandible; 6.) Large tongue; 7.) Limited neck extension; 8.) Short thyromental distance</p> Signup and view all the answers

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Study Notes

Mallampati Classification

  • Class I: Visualization includes the soft palate, fauces, uvula, and anterior and posterior pillars.
  • Class II: Visualization includes the soft palate, fauces, and uvula.
  • Class III: Visualization includes the soft palate and the base of the uvula.
  • Class IV: Soft palate is not visible at all.

Intubation Insights

  • Class I view indicates ease of intubation, correlating with a laryngoscopic view grade I (99-100% accuracy).
  • Class IV view indicates poor laryngoscopic view, consistently correlating with grade III or IV (100% accuracy).
  • Intermediate classes (II and III) may lead to varying degrees of difficulty in laryngoscopic visualization.

Laryngoscopic Views

  • Grade I: Most of the glottic opening is visible.
  • Grade II: Only the posterior portion of the glottis or the arytenoid cartilages can be seen.
  • Grade III: Only the epiglottis is visible; no glottis is seen.
  • Grade IV: Neither the glottis nor the epiglottis is visible.

Mandibular Protrusion Test

  • Upper lip bite test is also known as the Mandibular protrusion test.
  • Class A: Lower incisor can protrude anterior to the upper incisor.
  • Class B: Lower incisor can meet the upper incisor edge to edge.
  • Class C: Lower incisor cannot reach the upper incisor edge to edge.

Difficult Airway Predictors

  • Ten predictors of a difficult airway include:
    • Short muscular neck
    • Protruding incisors (buck teeth)
    • Long, high, arched palate
    • Receding lower jaw
    • Poor mandible mobility
    • Large tongue
    • Limited neck extension
    • Short thyromental distance

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