1. Initial General Inspection & Bag-Mask Ventilation (BMV) Assessment
- General Survey:
- Inspect for contractures, fractures, and obvious skeletal/facial deformities.
- Assess for presence or risk of cervical spine (C-spine) injury/collar.
- Inspect external nares for patency (evaluating feasibility of a nasopharyngeal airway).
- Difficult Bag-Mask Ventilation Predictors (BONES Acronym):
- B – Beard
- O – Obesity
- N – No teeth (edentulous)
- E – Elderly (age > 55)
- S – Snores / obstructive sleep apnea (OSA)
2. Focused Airway Examination
- Dentition & Oral Cavity:
- Assess for prominent upper incisors.
- Inspect for dental work (caps, crowns, loose teeth, or dentures).
- Evaluate tongue size relative to the oral cavity (risk of obstruction/difficulty sweeping during laryngoscopy).
- Evaluate baseline mouth opening.
- Mallampati Classification:
- Technique: Patient sits upright, opens mouth wide, sticks tongue out fully without phonation (do not say “ah”).
- Class 1: Full visualization of soft palate, fauces, uvula, and tonsillar pillars.
- Class 2: Visualization of soft palate, fauces, and most of uvula.
- Class 3: Visualization of soft palate and base of uvula.
- Class 4: Only hard palate visible (soft palate entirely obscured by tongue base).
- 3-3-2 Rule:
- 3 fingers: Inter-incisor distance (mouth opening capacity).
- 3 fingers: Hyomental distance (from mentum to hyoid bone).
- 2 fingers: Hyothyroid distance (from hyoid bone to superior notch of thyroid cartilage).
- Upper Lip Bite Test (Mandibular Protrusion):
- Step 1: Assess active mandibular protrusion (protruding lower jaw forward).
- Step 2: Have patient bite upper lip with lower incisors:
- Class 1: Lower incisors bite upper lip and extend above the vermilion border.
- Class 2: Lower incisors bite upper lip but cannot clear the vermilion border.
- Class 3: Lower incisors cannot bite the upper lip.
- Thyromental Distance:
- Technique: Patient fully extends neck; measure straight-line distance from thyroid notch to tip of chin (mentum).
- Normal Threshold: ≥ 7 cm or > 3 finger breadths.
- Cervical Spine Mobility:
- Evaluate full extension (looking up at ceiling).
- Evaluate full flexion (touching chin to chest).
3. Cardiorespiratory Examination
- Inspection:
- Signs of respiratory distress: Tachypnea, nasal flaring, tracheal tug, intercostal/accessory muscle use, tripod positioning.
- Perfusion & Oxygenation: Central cyanosis (lips/mucosa), peripheral cyanosis (digits), and nicotine/tar staining on fingers.
- Digital clubbing: Presence vs. loss of the Schamroth window.
- Cardiovascular Auscultation & Palpation:
- Auscultate precordium for regular rate/rhythm, heart sounds (S1, S2), extra sounds (S3, S4), or murmurs.
- Additional assessments (if indicated by murmur/findings): Point of maximal impulse (PMI), palpable heaves, or thrills.
- Respiratory Auscultation:
- Auscultate bilateral lung fields across anterior, posterior, and lateral zones.
- Evaluate for quality of air entry and presence of adventitious sounds (wheezes, crackles, stridor).
4. Vascular Access Assessment
- Venous Assessment (Peripheral IV Access):
- Apply tourniquet proximal to elbow to induce venous congestion.
- Inspect and palpate dorsal hand and forearm veins.
- Adjunct techniques: Vein tapping, traction/taut skin anchoring at knuckles, and warm blankets to promote venodilation.
- Arterial Assessment (Allen’s Test for Arterial Line Feasibility):
- Indication: Confirm adequate collateral circulation via ulnar artery before radial cannulation.
- Technique:
- Compress both radial and ulnar arteries simultaneously until hand blanches.
- Release ulnar artery compression while maintaining radial compression; verify reperfusion (hand “pinks up”) within normal limits.
- Re-compress and repeat release of radial artery to confirm dual supply.
5. Additional Regional Assessments (Procedure-Specific / Neuraxial)
- Spine & Back Examination:
- Indication: Pre-procedural evaluation if spinal or epidural anesthesia is planned.
- Inspection & Palpation: Assess surface landmarks, spine curvature (scoliosis/lordosis), and prior surgical scars.
- Focused Neurological Baseline:
- Pre-procedural documentation of baseline motor and sensory function in lower extremities to rule out pre-existing deficits.
