Table 2.
Some data on predicted difficulties with intubation and backup plans for oxygenation. Highlighted (with a “+”), which of these features our patient presented [3, 6, 7].
| Predictors of difficult intubation | Predictors of difficult backup plans for oxygenation | ||
|---|---|---|---|
| Predictors of difficult direct laryngoscopy | Predictors of difficult facemask ventilation | ||
|
| |||
| History of difficult intubation | + | History of neck radiation | + |
| Limited mouth opening (interincisor gap) | + | History of snoring or obstructive sleep apnea | + |
| Modified Mallampati Score 3 + 4 | + | Obesity | |
| Limited cervical spine mobility | + | Older age | + |
| Upper lip bite test | + | Male sex | + |
| Limited mandibular protrusion | + | Full beard | |
| Retrognathia | + | Lack of teeth | + |
| Short thyromental distance | + | Modified Mallampati Score 3 + 4 | + |
| Limited mandibular protrusion | + | ||
| Short thyromental distance | + | ||
|
| |||
| Predictors of difficult video laryngoscopy | Predictors of difficult supraglottic device use | ||
|
| |||
| Neck pathology (e.g., scars, neck radiation, mass, thick neck) | + | Glottic, supraglottic or subglottic pathology (e.g., neck radiation) | + |
| Cormack-Lehane Grade 3 + 4 with Macintosh | + | Obesity | |
| Limited cervical spine mobility | + | Older age | + |
| Limited mandibular protrusion | + | Male sex | + |
| Short thyromental distance | + | Poor dentition | + |
| Limited mouth opening | + | ||
| Limited cervical spine mobility | + | ||
| Short thyromental distance | + | ||
| Rotation of surgical table during case | |||
| Applied cricoid pressure | |||
|
| |||
| Predictors of difficult ligthwand use | Predictors of difficult cricothyrotomy | ||
|
| |||
| Obesity (thick neck) | Neck surface pathology (e.g. scars, radiation, inflammation, hematoma) | + | |
| Limited cervical spine mobility | + | Deviated airway (e.g. goiter, neoplasms) | |
| Large tongue/epiglottis | + | Obesity (thick neck) | |
| Age <8–10 years | |||
| Female sex | |||
| Limited cervical spine mobility | + | ||