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Difficult airway

Difficult intubation = LEMON
  • Look externally
  • Evaluate 3-3-2 rule
  • Mallampati score
  • Obstruction
  • Neck Mobility
Difficult BVM = BONES
  • Beard
  • Obese
  • No teeth
  • Elderly
  • Sleep Apnea / Snoring
Difficult LMA = RODS
  • Restricted mouth opening
  • Obstruction
  • Distorted airway
  • Stiff lungs or c-spine
Difficult surgical airway = SHORT
  • Surgery
  • Hematoma
  • Obesity
  • Radiation distortion or other deformity
  • Tumor

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