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Statics
Preparation is mandatory for all airway management scenarios. The following equipment is routinely
needed in airway management situations: • An oxygen source • BMV capability • Laryngoscopes (direct
and video) • Several endotracheal tubes of different sizes • Other (not endotracheal tube) airway
devices (eg, oral, nasal airways) • Suction • Oximetry and CO 2 detection • Stethoscope • Tape • Blood
pressure and electrocardiography (ECG) monitors • Intravenous access
Butterworth, J.F. 2013. Morgan & Mikhail’s Clinical Anesthesiology . New York. Mc Graw Hill Education.
Page : 314
2. LEMON :
LEMON airway assessment method (fig. 3) The score with a maximum of 10 points is calculated by
assigning 1 point for each of the following LEMON criteria: L = Look externally (facial trauma, large
incisors, beard or moustache, large tongue) E = Evaluate the 3-3-2 rule (incisor distance-3 finger
breadths, hyoid-mental distance-3 finger breadths, thyroid-to-mouth distance-2 finger breadths) M =
Mallampati (Mallampati score > 3). O = Obstruction (presence of any condition like epiglottitis,
peritonsillar abscess, trauma). N = Neck mobility (limited neck mobility) Patients in the difficult
intubation group have higher LEMON scores Fig. 3 : LEMON airway assessment method ; 1 = Inter-incisor
distance in fingers, 2 = Hyoid mental distance in fingers, 3 = Thyroid to floor of mouth in fingers
3. MOANS : Mask seal, Obesity/Obstruction, Aged > 55 Years, No teeth, Stiff lungs.
Butterworth, J.F. 2013. Morgan & Mikhail’s Clinical Anesthesiology . New York. Mc Graw Hill Education.
Page : 323
Butterworth, J.F. 2013. Morgan & Mikhail’s Clinical Anesthesiology . New York. Mc Graw Hill Education