13. Role of modified Mallampati classification in predicting difficult laryngoscopy for endotracheal anesthesia in adults
Main Article Content
Abstract
Difficult airway control can lead to hypoxia, brain damage, and even death if not treated promptly. The modified Mallampati classification is commonly used to predict difficult laryngoscopy or intubation. A single-blind, prospective, descriptive study was conducted to evaluate the role of this classification in predicting difficult laryngoscopy (DL) in adults with indications for surgery under endotracheal anesthesia. Lehane-Cormack Grades 3–4 is considered a difficult DL. Results: The rate of DL was 8.2% (46/558). Mallampati categories I, II, III and IV had respective ratios of 47.6%; 37.5%; 13.8%; and 1.1%. Applying Mallampati classes III-IV to predict DL with sensitivity, specificity, positive predictive value, and negative predictive value were, 78.3%, 90.8%, 43.4%, and 97.9% respectively. Conclusion: The modified Mallampati classification correctly predicted 78.3% of the DL cases, and only 43.4% of the difficultly predicted cases were accurate.
Article Details
Keywords
Modified Mallampati classification, difficult laryngoscopy, prediction/predicting, endotracheal anesthesia
References
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