Title of the Lecture ANESTHESIA

Lecturer
Date of Lecture 1.1

Outline
I. Heading 1
A. Heading 2
1. Subheading
a. Body

LEGEND
🕮 Book  Recording 🗐 Previous Trans Must know
Important Concept

References:
1. PowerPoint Lecture
2. Book (APA citation)
3. Journal (APA citation)

II. PHYSICAL EXAMINATION

A. AIRWAY EXAMINATION
● External features

▪ Short neck

▪ Obese and No neck

▪ Receding chin

▪ Buck teeth

● Mouth opening

a Mallampati score of 3 & 4 would indicate that the patient is at

risk for difficult intubation.

It is also important to know that the Mallampati scoring system

predicts only about 50% of difficult intubations

 Mallampati Score]

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 Upper Lip Bite Test  Neck Movement

Any limitation of the neck movement may suggest a
Another test that can predict difficulty in laryngoscopy and history of spine surgery, pain or stiffness.
intubation. It is necessary to probe the cause for neck movement
This test uses the vermillion border as a marker to indicate limitation to prevent further damage any injury the patient
its class. may have.

B. ASA PHYSICAL STATUS

American Society of Anesthesiologists

 ASA practice for preanesthesia evaluation
The society systematically develops reports that are intended
to assist decision making in areas of patient care where
scientific evidence is insufficient.

ASA Preanesthetic Evaluation

Laboratories taken are supposed to be problem-directed in

contrast to the routine tests that are ordered in the absence of
specific clinical conditions.

Physical Status Classification

The patient is asked to prognath as much as they can. Ask the

patient to place their lower incisors above the vermillion border
much like biting the upper lip.
 If the patient is able to do this then he/she is classified as
Class 1
 If the lower incisors can bite the upper lip below the
vermillion border, then they are classified under Class 2
 If the lower incisors cannot bite the upper lip, then the
patient is classified as Class 3.
The higher the class, the more difficult the laryngoscopy and
intubation might be.

 Thyromental Distance (Patil Test)

o From the thyroid cartilage notch to the tip of
the mental prominence.
>6.5cm Normal (easy laryngoscopy and
intubation)
6.0-6.5cm Possible difficult laryngoscopy
<6.0cm Difficult laryngoscopy

A measurement predictive of the ability of the neck to extend,

making it easy for airway access to align.
This test predicts about 75% of difficult intubation.

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APPENDIX

Appendix SEQ Appendix \* ARABIC 1. Include caption

Appendix SEQ Appendix \* ARABIC 2.

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