Image Based Question-66635

Grading of Laryngeal View as shown in the image is :

A. I

B. II

C. III

D. IV

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Correct Answer » B Explanation

Ans: B. II

Grading of Laryngeal View

• The Cormack-Lehane system classifies views obtained by direct laryngoscopy based on the structures seen.
• It was initially described in 1984 as a way of simulating potential scenarios that trainee anesthetists might face.
• Grade Description
• 1 Full view of glottis
• 2 Partial view of glottis
• 3 Only epiglottis seen, none of the glottis seen
• 4 Neither glottis nor epiglottis is seen

The new classification subdivides grade 2 and 3.

• Grade 2a: Posterior Cords Visible
• Grade 2b: Only Arytenoids visible
• Grade 3a: Epiglottis visible and liftable
• Grade 3b: Epiglottis adherent to the pharynx.

1. The view is easy(Grade 1 and 2a): suitable for intubation under direct vision.
2. The view is restricted (Grade 2b and 3a): likely to benefit from indirect methods (e.g. gum elastic bougie).
3. A difficult view (Grade 3a and 4): likely to need specialist methods for intubation which may need to be performed blindly.