SciELO - Scientific Electronic Library Online

vol.61 issue2Assessment of neuromuscular blockade in children at the time of block reversal and the removal of the endotracheal tubeImpact of alveolar recruitment maneuver in the postoperative period of videolaparoscopic bariatric surgery author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Revista Brasileira de Anestesiologia

Print version ISSN 0034-7094


SANTOS, Ana Paula S Vieira; MATHIAS, Ligia Andrade S Telles; GOZZANI, Judymara Lauzi  and  WATANABE, Marcelo. Difficult intubation in children: applicability of the Mallampati index. Rev. Bras. Anestesiol. [online]. 2011, vol.61, n.2, pp.159-162. ISSN 0034-7094.

BACKGROUND AND OBJECTIVES: The concern of facing difficult airways brought the need of developing predictive testing for difficult intubation. Those tests were developed primarily for adult populations. In pediatric patients studies always focus on patients with congenital malformation, polytraumatized, and newborns. The objective of the present study was to determine the applicability of the predictive test used more often in adults, the Mallampati index, in patients 4 to 8 years old, correlating it with the Cormack-Lehane index. METHODS: One hundred and eight patients 4 to 8 years of age, ASA I, without any type of congenital malformation, genetic syndromes or cognitive deficits were evaluated. The Mallampati index was applied to patients during the pre-anesthetic evaluation. Evaluation of the Cormack-Lehane index was performed after anesthetic induction. A p < 0.05 was considered significant. RESULTS: The Mallampati index showed a significant correlation with the Cormack-Lehane index. The sensitivity and specificity of the Mallampati index were 75.8% and 96.2% respectively, but the sensitivity showed a wide confidence interval. CONCLUSIONS: The Mallampati index was proven to be applicable in children 4 to 8 years old.

Keywords : Intubation, Intratracheal; Pediatrics; Predictive Value of Tests; Preoperative care.

        · abstract in Portuguese | Spanish     · text in English | Portuguese | Spanish     · English ( pdf epdf ) | Spanish ( pdf epdf ) | Portuguese ( pdf epdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License