Airway Exam LEMON Sedation Certification

LEMON Airway evaluation for sedation, anesthesia and EMS
L - LOOK Check for facial trauma, large incisors, beard or moustache, large tongue
E - EVALUATE 3-3-2
1. Inter-incisor distance: patient's mouth is opened adequately to allow the placement of three fingers between the upper and lower teeth
2. Hyomental distance: three finger breadths are used
3. Thyromental distance: two finger breadths are used
M - MALLAMPATI
Patient seated with the head in the neutral position, mouth fully open and the tongue protruded maximally without phonation while the clinician inspects the pharyngeal structures
The views are graded as:
Class I: soft palate, uvula, fauces, and pillars visible;
Class II: soft palate, uvula, fauces visible;
Class III: soft palate, base of uvula visible;
Class IV: hard palate only visible.
O - OBSTRUCTION Patients are evaluated for stridor, foreign bodies, and other forms of sub- and supraglottic obstructions including tumors', abscesses, inflamed epiglottis, or expanding hematoma
N - NECK MOBILITY This is a vital requirement for successful intubation. It is assessed by the patient in the sitting position to place their chin down onto their chest and then to extend their neck so they are looking towards the ceiling
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