Pre-Sedation Assessment –History and Physical

• History*

  • Previous problems with sedation
  • Sleep apnea

• Physical exam-head and neck*

  • Limited mouth opening
    • modified Mallampati classification (see slide 18)
  • Short neck (reduced thyromental distance)
  • Small mandible
  • Large tongue
  • Loose teeth, dentures
  • Limited Neck Extension
  • Obesity
    * The presence of one or more of these findings may require advanced airway skills.

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