Adnet et al developed the Intubation Difficulty Scale (IDS) to describe the difficulty involved in intubating a patient. The authors are from the University of Paris VII and XIII.
Parameters:
(1) number of attempts
(2) number of operators
(3) number of alternative techniques
(4) Cormack grade (see 31.05.02, above)
(5) lifting force required
(6) laryngeal pressure
(7) vocal cord mobility
|
Parameter |
Finding |
Points |
|
number of attempts |
|
(attempts) - 1 |
|
number of operators |
|
(operators) - 1 |
|
number of alternative techniques |
|
(number) |
|
Cormack grade for first oral attempt |
success blind oral |
0 |
|
|
Grade I |
0 |
|
|
Grade II |
1 |
|
|
Grade III |
2 |
|
|
Grade IV |
3 |
|
lifting force required |
normal |
0 |
|
|
increased |
1 |
|
laryngeal pressure |
none applied |
0 |
|
|
Sellick maneuver |
0 |
|
|
applied |
1 |
|
vocal cord mobility |
abduction |
0 |
|
|
adduction |
1 |
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: > 20 (an impossible intubation is graded as infinite).
|
Total Score |
Degree of Difficulty |
|
0 |
easy |
|
1 - 5 |
slight |
|
>= 6 |
moderate to major |
Specialty: Anesthesiology, Surgery, general, Pulmonology, Cardiology, Emergency Medicine, Otolaryngology
ICD-10: ,
