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2nd Step: Assess Mouth Opening and Assign Mallampati Classification

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The aperture of an adult patient’s mouth should admit three fingers between the teeth. This corresponds to a distance of approximately 5 – 6 cm in an adult. If the opening is < 2 finger breadths (< 2.5 cm), it will be difficult to insert the laryngoscope blade, let alone visualize the larynx. Note any loose, capped, prominent, or missing teeth as well as any dentures or dental bridge appliances.

Ottawa Anesthesia Primer

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