Cormack-Lehane classification system
The Cormack-Lehane system classifies views obtained by direct laryngoscopy based on the structures seen. It was initially described by R.S. Cormack and J. Lehane in 1984 as a way of simulating potential scenarios that trainee anaesthetists might face.[1] A modified version that subdivided Grade 2 was initially described in 1998.[2]
| Grade | Description | Approximate frequency | Likelihood of difficult intubation |
|---|---|---|---|
| 1 | Full view of glottis | 68-74% | <1% |
| 2a | Partial view of glottis | 21-24% | 4.3-13.4% |
| 2b | Only posterior extremity of glottis seen or only arytenoid cartilages | 3.3-6.5% | 65–67.4% |
| 3 | Only epiglottis seen, none of glottis seen | 1.2-1.6% | 80–87.5% |
| 4 | Neither glottis nor epiglottis seen | very rare | very likely |
References
- Cormack, R.S.; Lehane, J. (1984). "Difficult tracheal intubation in obstetrics". Anaesthesia. 39 (11): 1105–11. doi:10.1111/j.1365-2044.1984.tb08932.x. PMID 6507827.
- Yentis, S.M.; Lee, D.J. (1998). "Evaluation of an improved scoring system for the grading of direct laryngoscopy". Anaesthesia. 53 (11): 1041–4. doi:10.1046/j.1365-2044.1998.00605.x. PMID 10023271. S2CID 46086405.
- Koh, L. K. D.; Kong, C. E.; Ip-Yam, P. C. (2002-02-01). "The modified Cormack-Lehane score for the grading of direct laryngoscopy: evaluation in the Asian population". Anaesthesia and Intensive Care. 30 (1): 48–51. doi:10.1177/0310057X0203000109. ISSN 0310-057X. PMID 11939440.
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