Chatzakis et al classified the airway for a patient with maxillofacial trauma using a CART analysis. The authors are from Aristotle University and General Hospital Thessaloniki in Greece.
Patient selection: maxillofacial trauma
A detailed preanesthetic assessment is crucial.
Parameters:
(1) Mallampati score
(2) body mass index (BMI) in kg per square meter
(3) ASA status
Mallampati
BMI
ASA Status
Grade
< 3
NA
NA
1 or 2
>= 3
< 24
NA
1 or 2
>= 3
>= 24
ASA 1
1 or 2
>= 3
>= 24
ASA 2 to 5
3 or 4
Factors making intubation difficult:
(1) insufficient mouth opening
(2) blood or secretions in the airway
(3) concomitant cervical spine injury
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