• Br J Anaesth · Mar 1991

    Comparative Study

    Comparison of two methods for predicting difficult intubation.

    • J D Oates, A D Macleod, P D Oates, F J Pearsall, J C Howie, and G D Murray.
    • Department of Anaesthetics, Victoria Infirmary, Glasgow.
    • Br J Anaesth. 1991 Mar 1; 66 (3): 305-9.

    AbstractTwo methods of predicting difficult laryngoscopy were compared prospectively. Mallampati class and Wilson risk-sum were determined before operation and laryngeal view graded in 675 patients. Both tests identified five of 12 difficult laryngoscopies; twice as many patients were predicted to be difficult by Mallampati classification than by Wilson risk-sum. Inter-observer variation was minimal using Wilson risk-sum, but considerable for Mallampati classification. We prefer the Wilson risk-sum for assessment of the airway, while noting that both tests have poor sensitivities.

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