Update Mallampati : Theoretical and practical knowledge of European anesthetists on basic evaluation of airways

Der Anaesthesist
H IlperT Kunz

Abstract

In 1985 Mallampati et al. published a non-invasive score for the evaluation of airways (Mallampati grading scale, MGS), which originally consisted of only three different classes and has been modified several times. At present it is mostly used in the version of Samsoon and Young consisting of four different classes. Class I: soft palate, fauces, uvula, palatopharyngeal arch visible, class II: soft palate, fauces, uvula visible, class III: soft palate, base of the uvula visible and class IV: soft palate not visible. Nevertheless, other versions of MGS still exist, each having different values for sensitivity and specification. The current opinion is therefore that MGS is no longer useful as a stand-alone predictor but in combination with others it is still part of today's most relevant guidelines, such as those of the American Society of Anesthesiologists (ASA), the UK's Difficult Airway Society (DAS), the European Society of Anaesthesiology (ESA) and the German Society for Anesthesiology and Intensive Care Medicine (DGAI) and must therefore be known by anesthetists. Even in times of sophisticated tools for airway management, the procedure remains a high risk, so every anesthetist has to be prepared for and well trained in mana...Continue Reading

References

May 1, 1987·Anaesthesia·G L Samsoon, J R Young
Jul 1, 1985·Canadian Anaesthetists' Society Journal·S R MallampatiP L Liu
Aug 1, 1994·British Journal of Anaesthesia·D Savva
Nov 30, 2004·Critical Care : the Official Journal of the Critical Care Forum·Martijn PoezeMitchel Levy
Jun 18, 2010·British Journal of Anaesthesia·R KrageP Schober
Nov 18, 2010·Anesthesia and Analgesia·Christopher W Connor, Scott Segal
Sep 3, 2011·European Journal of Anaesthesiology·Stefan De HertUNKNOWN Task Force on Preoperative Evaluation of the Adult Noncardiac Surgery Patient of the European Society of Anaesthesiology
Sep 29, 2011·British Journal of Anaesthesia·L H LundstrømUNKNOWN Danish Anaesthesia Database
Feb 1, 2013·Anesthesiology·Jeffrey L ApfelbaumUNKNOWN American Society of Anesthesiologists Task Force on Management of the Difficult Airway
Nov 12, 2015·British Journal of Anaesthesia·C FrerkUNKNOWN Difficult Airway Society intubation guidelines working group

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