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Mallampati Score

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1. Cross Sectional Observational Study Performed to See for Relation of Mallampati Score and Extended Mallampati Score with Body Mass Index (PubMed)

Cross Sectional Observational Study Performed to See for Relation of Mallampati Score and Extended Mallampati Score with Body Mass Index There is increasing incidence of obesity worldwide. Since obese patients have an increased fatty tissue distributed in a truncal fashion, they may have an important and negative impact on the airway patency and respiratory function. Various scoring systems have been used to predict difficult airway, the most commonly used universal bedside tool is the Modified (...) Mallampati Scoring (MMS). It was shown that the Extended Mallampati Score (EMS) predicted difficult laryngoscopy better than the MMS in the obese populations.To evaluate the association of Mallampati score and EMS in adults.This cross-sectional prospective observational study was performed on 323 subjects. The selection method included convenience sampling technique. Patient data which included name, age, sex, weight, height, Body Mass Index (BMI) and Neck Circumference (NC), Mallampati Score, and EMS

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2017 Journal of clinical and diagnostic research : JCDR

2. Is the Mallampati Score Useful for Emergency Department Airway Management or Procedural Sedation? (PubMed)

Is the Mallampati Score Useful for Emergency Department Airway Management or Procedural Sedation? We review the literature in regard to the accuracy, reliability, and feasibility of the Mallampati score as might be pertinent and applicable to emergency department (ED) airway management and procedural sedation. This 4-level pictorial tool was devised to predict difficult preoperative laryngoscopy and intubation, but is now also widely recommended as a routine screening element before procedural (...) sedation. The literature evidence demonstrates that the Mallampati score is inadequately sensitive for the identification of difficult laryngoscopy, difficult intubation, and difficult bag-valve-mask ventilation, with likelihood ratios indicating a small and clinically insignificant effect on outcome prediction. Although it is important to anticipate that patients may have a difficult airway, there is no specific evidence that the Mallampati score augments or improves the baseline clinical judgment

2019 Annals of Emergency Medicine

3. Validity of thyromental height test as a predictor of difficult laryngoscopy: A prospective evaluation comparing modified Mallampati score, interincisor gap, thyromental distance, neck circumference, and neck extension (PubMed)

Validity of thyromental height test as a predictor of difficult laryngoscopy: A prospective evaluation comparing modified Mallampati score, interincisor gap, thyromental distance, neck circumference, and neck extension Thyromental height test (TMHT) is a recently described anatomical bedside screening tool in predicting difficult laryngoscopy. It has been shown to be more accurate than the modified Mallampati score, thyromental distance (TMD), and sternomental distance with regard (...) Mallampati score, interincisor gap (IIG), TMD, neck circumference (NC), and neck extension were assessed. We compared the sensitivity, specificity, PPV, negative predictive value (NPV), and diagnostic accuracy of TMHT with other bedside tests such as the modified Mallampati score, IIG, TMD, NC, and neck extension individually in predicting difficult laryngoscopy. Any Cormack and Lehane's intubation grade II b and above was considered to be difficult laryngoscopy.TMHT had the highest sensitivity (84.62

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2018 Indian journal of anaesthesia

4. The Relationship Between Modified Mallampati Score, Müller's Maneuver and Drug-Induced Sleep Endoscopy Regarding Retrolingual Obstruction. (PubMed)

The Relationship Between Modified Mallampati Score, Müller's Maneuver and Drug-Induced Sleep Endoscopy Regarding Retrolingual Obstruction. This study explored the correlation between clinical explorations, including modified Mallampati score and Müller's maneuver, with drug-induced sleep endoscopy (DISE) findings regarding retrolingual obstruction.One hundred forty-two obstructive sleep apnea patients were enrolled in this prospective study. All of the patients received clinical explorations (...) including modified Mallampati scoring and Müller's maneuver in the clinic. Drug-induced sleep endoscopy was further evaluated in the operating room.A significant relationship was noted between modified Mallampati score and retrolingual obstruction during DISE. In contrast, no significant relationship was noted between Müller's maneuver and DISE findings regarding retrolingual obstruction.A significant discrepancy existed between retrolingual airway collapse evaluated by modified Mallampati score

2018 Rhinology and Laryngology

5. Modified Mallampati Scoring Technique for Airway Assessment

Modified Mallampati Scoring Technique for Airway Assessment Modified Mallampati Scoring Technique for Airway Assessment - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Modified Mallampati Scoring Technique (...) : AlRefaey Kandeel Information provided by (Responsible Party): AlRefaey Kandeel, Mansoura University Study Details Study Description Go to Brief Summary: comparing a new technique for airway assessment using tongue depressor versus conventional mallampati scoring system. Using tongue depressor to improve airway score is suggested to increase reliability of airway assessment model Condition or disease Intervention/treatment Phase Intubation;Difficult Device: Tongue depressor group Procedure: control

2018 Clinical Trials

6. Higher Mallampati Scores Are Not Associated with More Adverse Events During Pediatric Procedural Sedation and Analgesia (PubMed)

Higher Mallampati Scores Are Not Associated with More Adverse Events During Pediatric Procedural Sedation and Analgesia Procedural sedation and analgesia (PSA) is used by non-anesthesiologists (NAs) outside of the operating room for several types of procedures. Adverse events during pediatric PSA that pose the most risk to patient safety involve airway compromise. Higher Mallampati scores may indirectly indicate children at risk for airway compromise. Medical governing bodies have proposed (...) guidelines for PSA performed by NAs, but these recommendations rarely suggest using Mallampati scores in pre-PSA evaluations. Our objective was to compare rates of adverse events during pediatric PSA in children with Mallampati scores of III/IV vs. scores of Mallampati I/II.This was a prospective, observational study. Children 18 years of age and under who presented to the pediatric emergency department (PED) and required PSA were enrolled. We obtained Mallampati scores as part of pre-PSA assessments. We

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2018 Western Journal of Emergency Medicine

7. Mallampati Score Before and After Cesarean Delivery

Mallampati Score Before and After Cesarean Delivery Mallampati Score Before and After Cesarean Delivery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Mallampati Score Before and After Cesarean Delivery (...) Description Go to Brief Summary: Mallampati class change has not been well evaluated during the cesarean delivery. Various factors regarding to cesarean delivery might influence this changes. The aim of this study was to evaluate the Mallampati class before and after cesarean delivery and to identify predictive factors of the changes.. Study Type: Observational Cross-sectional study Condition or disease Intervention/treatment Alteration of Modified Mallampati Score Other: Evaluate upper airway changes

2016 Clinical Trials

8. Mallampati Score

Mallampati Score Mallampati Score Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Mallampati Score Mallampati Score Aka: Mallampati (...) Score , Mallampati Classification II. Indication Anesthesiology evaluation to assess ease of intubation evaluation (experimental) III. Exam Assess and lar fossa visibility View pharynx with mouth open at rest No phonation No protrusion of Scoring Class 1: Entire clearly visible Class 2: Upper half of fossa visible Class 3: Soft and clearly visible Class 4: Only visible Images IV. Interpretation Higher Mallampati Score (Type 4) is higher risk More difficult intubation Associated with V. Resources

2018 FP Notebook

9. Mallampati Score in Sitting or Supine Position With or Without Phonation

Mallampati Score in Sitting or Supine Position With or Without Phonation Mallampati Score in Sitting or Supine Position With or Without Phonation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Mallampati (...) Sponsor: University Hospital, Caen Information provided by (Responsible Party): University Hospital, Caen Study Details Study Description Go to Brief Summary: Mallampati score (classification of the visibility of oropharyngeal structures) should be performed in the sitting position, head in the neutral position, mouth widely open, and tongue protrudes, without phonation. However, phonation, and position modify the visibility of oropharyngeal structures and thus the Mallampati score. Furthermore, some

2016 Clinical Trials

10. Combination of STOP-Bang score with the Mallampati score fails to improve specificity in the prediction of sleep-disordered breathing. (PubMed)

Combination of STOP-Bang score with the Mallampati score fails to improve specificity in the prediction of sleep-disordered breathing. Sleep-disordered breathing (SDB) is closely associated with perioperative complications. STOP-Bang score was validated for preoperative screening of SDB. However, STOP-Bang Score lacks adequately high specificity. We aimed to improve it by combining it with the Mallampati Score.The study included 347 patients, in which we assessed both STOP-Bang and Mallampati (...) %≥15/h (AHI≥15/h) it was 92% and 12% (84.6% and 10.3%) and 93% and 49% (75% and 49.2%). For ODI4%≥5 (AHI≥5) sensitivity and specificity of Mallampati score were in men 38.4% and 78.6% (27.3% and 68.2%) and in women 25% and 82.7% (21.9% and 81.3%), for ODI≥15 (AHI ≥15/h) 38.5% and 71.8% (26.9% and 69.2%) and 33.3% and 81.4% (17.9% and 79.6%). In combination, for ODI4%≥15/h, we found sensitivity in men to be 92.3% and in women 93.3%, specificity 10.3% and 41.4%.STOP-Bang Score combined

2015 Minerva anestesiologica

11. Comparison of the Mallampati Classification in Sitting and Supine Position to Predict Difficult Tracheal Intubation: A Prospective Observational Cohort Study. (PubMed)

Comparison of the Mallampati Classification in Sitting and Supine Position to Predict Difficult Tracheal Intubation: A Prospective Observational Cohort Study. The Mallampati classification (MLPT) is normally evaluated in the sitting position. However, many patients cannot be evaluated in the sitting position for medical reasons. Thus, we compared the MLPT in sitting and supine positions in predicting difficult tracheal intubation (DTI). We hypothesized that the diagnostic accuracy of the MLPT (...) was evaluated in the sitting and supine positions through the area under the receiver operating characteristic (ROC) curve. The performance of the Naguib score in predicting DTI was calculated with the MLPT in sitting and supine positions.Among the 3036 patients, 157 (5.1%) had DTI. The area under the ROC curve for the MLPT in supine position (0.82 [0.78-0.84]) was greater than that for the MLPT in the sitting position (0.70 [0.66-0.75]; P < .001). The relationship between the sitting and supine MLPTs

2017 Anesthesia and Analgesia

12. Evaluation of Mallampati Score Changes in Pregnancy

Evaluation of Mallampati Score Changes in Pregnancy Evaluation of Mallampati Score Changes in Pregnancy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Evaluation of Mallampati Score Changes in Pregnancy (...) by (Responsible Party): Julian N Robinson, Brigham and Women's Hospital Study Details Study Description Go to Brief Summary: Pregnant patients mallampati class scores will be examined throughout pregnancy Condition or disease Intervention/treatment Pregnancy Procedure: photograph Detailed Description: Photographs of the airway will be taken and compared throughout labor and delivery Study Design Go to Layout table for study information Study Type : Observational Estimated Enrollment : 30 participants

2015 Clinical Trials

13. Prediction of difficult laryngoscopy: Extended mallampati score versus the MMT, ULBT and RHTMD. (PubMed)

Prediction of difficult laryngoscopy: Extended mallampati score versus the MMT, ULBT and RHTMD. Preoperative using of anatomical landmarks detects potentially difficult laryngoscopies. The main object of the present study was to evaluate the predictive power of Extended Mallampati Score (EMS) in comparison with modified Mallampati test (MMT), the ratio of height to thyromental distance (RHTMD) and the Upper-Lip-Bite test (ULBT) in isolation and combination.Four hundred seventy sixadult patients (...) ) (AUC) for each score.The AUCof the ROC was significantly more for the ULBT (AUC = 0.820, P = 0.049) and RHTMD score (AUC = 0.845, P = 0.033) than the EMS (AUC = 0.703). This variable was significantly higher for the EMS compared with MMT (0.703 vs. 0.569, P = 0.046 respectively). There was no significant difference between the AUC of the ROC for the ULBT and the RHTMD score (P = 0.685). The optimalcut-off point for the RHTMD for predicting difficult laryngoscopy was 29.3.EMS predicted difficult

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2014 Advanced biomedical research

14. Comparison of Modified Mallampati Classification With M-TAC in Difficult Airway

by (Responsible Party): Bikramjit Das, Government Medical College, Haldwani Study Details Study Description Go to Brief Summary: The study title "Clinical trial of comparative evaluation of the Modified Mallampati Score and Modified Mallampati Score along with Thyromental distance, Anatomical abnormality, and Cervical mobility (M-TAC) in Predicting Difficult Airway " was undertaken to evaluate prediction of difficult airway by comparing preoperative airway evaluation tests. Mallampati classification (...) . Modified mallampati classification had four grades & each grade was given a score, similarly thyromental distance (TMD), anatomical abnormality (AA) & cervical mobility (CM) was classified into three grades & each grade was given a score. For M-TAC individual scores were added. Condition or disease Airway Management Detailed Description: The term 'airway' refers to the upper airway which may be defined as the extra-pulmonary air passage, consisting of the nasal and oral cavities, pharynx, larynx

2016 Clinical Trials

15. Mallampati Score

Mallampati Score Mallampati Score Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Mallampati Score Mallampati Score Aka: Mallampati (...) Score , Mallampati Classification II. Indication Anesthesiology evaluation to assess ease of intubation evaluation (experimental) III. Exam Assess and lar fossa visibility View pharynx with mouth open at rest No phonation No protrusion of Scoring Class 1: Entire clearly visible Class 2: Upper half of fossa visible Class 3: Soft and clearly visible Class 4: Only visible Images IV. Interpretation Higher Mallampati Score (Type 4) is higher risk More difficult intubation Associated with V. Resources

2015 FP Notebook

16. Poor prognostic value of the modified Mallampati score: a meta-analysis involving 177 088 patients. (PubMed)

Poor prognostic value of the modified Mallampati score: a meta-analysis involving 177 088 patients. The modified Mallampati score is used to predict difficult tracheal intubation. We have conducted a meta-analysis of published studies to evaluate the Mallampati score as a prognostic test. A total of 55 studies involving 177 088 patients were included after comprehensive electronic and manual searches. The pooled estimates from the meta-analyses were calculated based on a random-effects model (...) and a summary receiver operating curve. Meta-regression analyses were performed to explore sources of possible heterogeneity between the studies. The summary receiver operating curve demonstrated an area under the curve of 0.75. The pooled odds ratio for a difficult intubation with a modified Mallampati score of III or IV was 5.89 [95% confidence interval (CI), 4.74-7.32]. The pooled estimates of the specificity and sensitivity were 0.91 (CI, 0.91-0.91) and 0.35 (CI, 0.34-0.36), respectively. The pooled

2011 British Journal of Anaesthesia

17. Sensitivity of the Combination of Mallampati Scores with Anthropometric Measurements and the Presence of Malignancy to Predict Difficult Intubation (PubMed)

Sensitivity of the Combination of Mallampati Scores with Anthropometric Measurements and the Presence of Malignancy to Predict Difficult Intubation The aim of this study was to determine the combinations of the Mallampati test and anthropometric measurements with the highest selectivity value. In addition, we aim to identify a possible correlation between head circumference measurement, the presence of malignancy and difficult intubation.Patients who were scheduled to undergo elective surgery (...) under general anaesthesia, who fell into Group 1-2 according to ASA criteria and were between the ages of 18-70 years were included in the study. Patients with Cormack-Lehane scores of 3-4 were considered to be difficult intubations. Thyromental distance, sternomental distance, mandibular distance, neck length, neck circumference and head circumference were measured during the anthropometric measurements.According to the ROC analysis, there was a significant difference in the thyromental distance

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2014 Turkish journal of anaesthesiology and reanimation

18. Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery (PubMed)

Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery Prediction of difficult airway is critical in the airway management of trauma patients. A LEMON method which consists of following assessments; Look-Evaluate-Mallampati-Obstruction-Neck mobility is a fast and easy technique to evaluate patients' airways in the emergency situation. And a modified LEMON method, which excludes the Mallampati classification from the original (...) LEMON score, also can be used clinically. We investigated the relationship between modified LEMON score and intubation difficulty score in adult trauma patients undergoing emergency surgery.We retrospectively reviewed electronic medical records of 114 adult trauma patients who underwent emergency surgery under general anesthesia. All patients' airways were evaluated according to the modified LEMON method before anesthesia induction and after tracheal intubation; the intubating doctor self-reported

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2018 World journal of emergency surgery : WJES

19. Prehospital and Emergency Feasibility of MACOCHA Score Assessment to Predict Difficult Tracheal Intubation

assessment items: a Mallampati III or IV, a sleep apnea syndrome, a decrease in cervical mobility, a mouth opening <3cm, a coma defined by a Glasgow score <8, severe hypoxemia, and if the practitioner is not anesthetist. Missing items are defined as those for which relevant information cannot be collected before intubation. Secondary Outcome Measures : Adverse events [ Time Frame: 30 min ] occurrence of any adverse event during and 30 minutes after intubation Eligibility Criteria Go to Information from (...) Prehospital and Emergency Feasibility of MACOCHA Score Assessment to Predict Difficult Tracheal Intubation Prehospital and Emergency Feasibility of MACOCHA Score Assessment to Predict Difficult Tracheal Intubation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100

2018 Clinical Trials

20. Evaluation of the reliability of preoperative descriptive airway assessment tests in prediction of the Cormack-Lehane score: A prospective randomized clinical study. (PubMed)

, in terms of predicting difficult intubation.Prospective, blinded study.Maltepe University.Four hundred fifty-one patients selected randomly who underwent general anesthesia.In this study we compared predictive value of thyromental height measurement test (TMH), which has been recently suggested, modified Mallampati test (MMT), upper lip bite test (ULBT), and thyromental distance measurement test (TMD) in difficult laryngoscopy. Final C-L scores were compared with intubation difficulty scale (IDS (...) Evaluation of the reliability of preoperative descriptive airway assessment tests in prediction of the Cormack-Lehane score: A prospective randomized clinical study. In this study we investigated and compared the predictive values of different airway assessments tests including thyromental height measurement test, which has been recently suggested, in difficult laryngoscopy (Cormack and Lehane [C-L] scores 3 and 4). In addition, we compared the effectiveness of methods and C-L scores, by IDS

2017 Journal of clinical anesthesia

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