Saturday, March 16, 2019

Difficult gender for intubation

Q: Which gender, in general, tends to present with more difficult airway? (select one)

A) Male
B) Female

Answer: A

The few well-known risk factors for difficult intubation are described by a mnemonic ROMAN

 R: Radiation or Restriction (Restriction includes neck immobility and intrinsic lung pathologies)
 O: Obstruction or Obesity or Obstructive Sleep Apnea
M: Mask Seal or (poor) Mallampati score or Male gender
A: Age (> 55)
N: No teeth – Edentulousness leads to difficult intubation



1. Walls R, Murphy M. Chapter 7: Identification of the Difficult Airway. Manual of Emergency Airway Management. Third Edition. Lippincott Williams & Wilkins 

2. Tulay Sahin Yildiz. Mine Solak. Kamil Toker. The incidence and risk factors of difficult mask ventilationJournal of Anesthesia February 2005, Volume 19, Issue 1, pp 7–11

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