| Laryngeal mask airway positioning is related to Mallampati grading in adults. | |
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MedLine Citation:
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PMID: 7486037 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The Mallampati classification is a commonly used means of preoperatively predicting a difficult endotracheal intubation. As the laryngeal portion of the laryngeal mask airway (LMA) must sit over the larynx, we wondered whether the Mallampati classification also predicts difficulty in achieving adequate seating of the LMA. LMA positioning was assessed prospectively in 100 adult patients by fiberoptic bronchoscopy to determine whether there was a relationship between the ease of seating of the LMA and the Mallampati classification. In 72 patients, optimal seating of the LMA was achieved on the first attempt at insertion, and all these patients were classified as Mallampati class 1 or 2. In all 28 cases of difficulty with LMA insertion, the patients were Mallampati class 2 or 3. In two cases the LMA was abandoned, and in these cases both patients were Mallampati class 3, (P = 0.0001 by chi 2 analysis). We conclude that the Mallampati classification indicates difficulty not only in tracheal intubation but also in achieving an adequate airway with the LMA. |
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Authors:
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C R McCrory; D C Moriarty |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 81 ISSN: 0003-2999 ISO Abbreviation: Anesth. Analg. Publication Date: 1995 Nov |
Date Detail:
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Created Date: 1995-12-19 Completed Date: 1995-12-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1001-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesia, Mater Misericordiae Hospital, Dublin, Ireland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Humans Laryngeal Masks* Middle Aged Pharynx / anatomy & histology* |
| Comments/Corrections | |
Comment In:
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Anesth Analg. 1996 May;82(5):1112-3
[PMID:
8610892
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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