We have studied the effects of phonation and posture on the Mallampati classification of view of the pharyngeal structures. Differences between observers were allowed for by the experimental design and log-linear modelling. Sixty-four patients were assessed on the ward, sitting upright, with and without phonation, by each of two observers. Another 64 patients were assessed without phonation, bu...

CASE A 72 year old male with a past medical history of hypertension and obesity is admitted to the hospital after acute onset of right sided facial droop and difficulty lifting the right arm and leg. Physical examination confirmed right face, arm, and leg weakness and MRI revealed a lacunar infarct of the left internal capsule. The patient had an uneventful hospital and rehabilitation course wi...

Introduction: Difficult intubation is an emergency situation that anaesthetist come across frequently. It a frequent cause of mortality in practice anesthesia. Mallampati classification (MPC) the oropharyngeal structures simple test to assess anticipated difficult airway for endotracheal intubation. thyromental height (TMH) now also commonly used predict Objective: To evaluate diagnostic accura...