A CLINICAL ASSESSMENT OF MODIFIED MALLAMPATI SCORE AND ITS CORRELATION WITH CORMACK LEHANE GRADING TO PREDICT DIFFICULT INTUBATION IN DEPARTMENT OF ANESTHESIOLOGY, MIMS MEDICAL COLLEGE, NELLIMARLA, VIZIANAGARAM, AP, INDIA.

D Sai Rama Devi

Abstract


anesthesiologist and becomes more serious when it is unexpected. The preoperative assessment for recognition of difficult airway in advance is the best method of preventing damage caused by the inability to maintain the airway. The aim of this study was to correlate primarily the Mallampati modified score with laryngoscopic view in order to predict a difficult airway.

 

MATERIAL AND METHODS: 80 adult patients of age group 18-75 years of either sex of ASA Class I and II, requiring endotracheal intubation collected from various surgical departments  were included in this study. Preclinical evaluation was carried out by Modified Mallampati test and were then correlated with laryngoscopic grading as per Cormack and Lehane. Chi-square test and Kappa statistics were applied for the statistical analysis.

 

RESULTS: It was observed that 10% of the difficult intubations were predicted to be easy. There was no case of difficult intubation which was predicted as difficult. 10% cases were easy intubations which were predicted to be difficult.

 

CONCLUSION: Mallampati classification did not correlate grade- to-grade with Cormack & Lehane grading on direct laryngoscopy


Keywords


Anaesthesia, Difficult Intubation, Cormack Lehane Laryngoscopy Grading, Modified Mallampati Test

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References


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