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Calcium-channel blockers and anaesthesia

Article  in  Canadian Journal of Anaesthesia · February 1991

DOI: 10.1007/BF03009168 · Source: PubMed

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Pierre Foex
University of Oxford
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 688 CANADIAN JOURNAL OF ANAESTHESIA

TABLE

Components Descriptors Assessment activities

M Mandible Length and subluxation Measure mental-hyoid distance and anterior displacement of mandible
0 Opening Ease, symmetry and range Assess and measure mouth opening in cm
U Uvula Visibility Assess pharyngeal structures and classify ~
T Teeth Dentition (Figure) Assess for presence of loose teeth and dental appliances
H Head Flexion, extension, rotation of head and cervical Assess all ranges of movement
spine
S Silhouette Upper body abnormalities, both anterior and Identify potential impact on control of airway2 of large breasts, buffalo
posterior hump, kyphosis, etc.

(Right) (Left)

(Maxilla)

7,6,5,4,3,2,1 1,2,3,4,5,6,7

7,6,5,4,3,2,1 1,2,3,4,5,6,7

(Mandible)

FIGURE Schematic representation of anterior view of dentition, with

teeth numbered sequentially from midlinc. Indicate abnormalities
as: A = Absent; B = Bridge; C = Caps; L = Loose.

anaesthetic record. These would act as an "aide-

memoire," help to ensure more complete documentation,
and then be available for review of charts fro audit. We
would welcome comments.

J.M. Davies MSc MD FRCPC

C.J. Eagle MD~CPC
Department of Anaesthesia
Foothills Hospital at the University of Calgary
Calgary, Alberta, T2N 2T9

REFERENCES
1 Samsoon GLT, Young JRB. Difficult tracheal intuba-
tion: a retrospective study. Anaesthesia 1987; 42:
487-90.
2 Davies JM, Weeks S, Crone LA, Pavlin E. Difficult
intubation in the parturient. Can J Anaesth 1989; 36: Erratum
668-74.
Re "Calcium-channel blockers and anaesthesia" in the
January issue of Canadian Journal of Anaesthesia.
In Table I, the specificity for slow calcium channels of
Group B is " + + " (and not + + +)
Durand P=G, Lehot J-J, Fo~'x P. Calcium-channel blockers
and anaesthesia. Can J Anaesth 1991; 38: 7 5 - 8 9 .

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