220px-Mallampati.svg.png (27.43 KB, 下载次数: 52)
2012-11-30 10:24 上传
Mallampati score.In anesthesia, the Mallampati score, also Mallampati classification, is used to predict the ease of intubation.[1] It is determined by looking at the anatomy of the oral cavity; specifically, it is based on the visibility of the base of uvula, faucial pillars (the arches in front of and behind the tonsils) and soft palate. Scoring may be done with or without phonation. A high Mallampati score (class 3 or 4) is associated with more difficult intubation as well as a higher incidence of sleep apnea.[2]
Modified Mallampati[3] Scoring is as follows:
Class 1: Full visibility of tonsils, uvula and soft palate
Class 2: Visibility of hard and soft palate, upper portion of tonsils and uvula
Class 3: Soft and hard palate and base of the uvula are visible
Class 4: Only Hard Palate visible
Original Mallampati [4]Scoring:
Class 1 Faucial pillars, soft palate and uvula could be visualized.
Class 2 Faucial pillars and soft palate could be visualized, but uvula was masked by the base of the tongue.
Class 3 Only soft palate could be visualized.
There are issues with consistency of Mallampati scoring beyond the original versus modified Mallampati scoring.
There Four Key measurement differences can effect the predictability of Mallampati scoring and are often missed as seen
Tongue in, without phonation (Saying AH!)
Tongue in, with phonation
Tongue out, without phonation
Tongue out, with phonation
Lastly a key component to scoring as per Sam Soon and Young's Modified Mallampati scoring [5] is that the Tongue must be Maximally Extended out of the mouth not just out sticking out.
Further research is needed to determine the most effective consistent and predictive approach on which to standardize Mallampati Scoring.
[edit]References
^ Mallampati S, Gatt S, Gugino L, Desai S, Waraksa B, Freiberger D, Liu P (1985). "A clinical sign to predict difficult tracheal intubation: a prospective study.". Can Anaesth Soc J 32 (4): 429–34. doi:10.1007/BF03011357. PMID 4027773.
^ Nuckton TJ, Glidden DV, Browner WS, Claman DM (Jul 1, 2006). "Physical examination: Mallampati score as an independent predictor of obstructive sleep apnea". Sleep 29 (7): 903–8. PMID 16895257.
^ Samsoon, GL; Young, JR (May 1987). "Difficult tracheal intubation: a retrospective study.". Anaesthesia 42 (5): 487-90. PMID 3592174.
^ Mallampati, SR; Gatt, SP; Gugino, LD; Desai, SP; Waraksa, B; Freiberger, D; Liu, PL (1985 Jul). "A clinical sign to predict difficult tracheal intubation: a prospective study.". Canadian Anaesthetists' Society journal 32 (4): 430. doi:10.1007/BF03011357. PMID 4027773.
^ Samsoon, GL; Young, JR (May 1987). "Difficult tracheal intubation: a retrospective study.". Anaesthesia 42 (5): 487-90. PMID 3592174.
作者: garic 时间: 2013-6-3 17:51
seems oaky
| 欢迎光临 新青年麻醉论坛 (https://xqnmz.com/) | Powered by Discuz! X3.2 |