[Verse 1]
Tongue base to trachea, map it before you cut
Glossopharyngeal guards the pharynx, vagus runs the gut
Superior laryngeal splits — internal feels the supraglottic zone
Recurrent laryngeal hugs the groove, moves the cords you own
Epiglottis, arytenoids, the vocal folds in between
Vallecula, piriform sinus — structures you must've seen
Kids have a higher larynx, omega epiglottis, narrower ring
Cricoid's the tightest point in peds — that changes everything
[Chorus]
Mallampati, boca abierta, distancia al mentón
Thyromental distance, neck mobility, upper lip bite — toma nota
Predicting the difficult airway, it's never just one sign
Ningún predictor solo — combine the whole design
Mask ventilation, laryngoscopy, SGA, front-of-neck
Evalúa todo — or you'll land a wreck
[Verse 2]
History first: the snorer, the bleeder, the radiation neck
Prior intubations — was it smooth or was it checked?
Mallampati one through four, pillars visible or gone
Class three and four correlate, but sensitivity's not strong
Thyromental under six centimeters, hyomental matters too
Mouth opening less than three — that's a Verburg signal coming through
Upper lip bite test, can the lower incisors reach the skin?
Limited neck extension — add it to the picture you're building in
[Chorus]
Mallampati, boca abierta, distancia al mentón
Thyromental distance, neck mobility, upper lip bite — toma nota
Predicting the difficult airway, it's never just one sign
Ningún predictor solo — combine the whole design
Mask ventilation, laryngoscopy, SGA, front-of-neck
Evalúa todo — or you'll land a wreck
[Bridge]
MOANS for the mask: Mask seal, Obese, Age, No teeth, Stiff
RODS for the rigid scope — Restricted, Obstructed, Distorted, Short stiff neck to sniff
Ultrasound quantifies the tongue, the pre-epiglottic space
Nasendoscopy scopes the anatomy face to face
But every tool has limits — no test predicts with perfect grace
Plan A through D before you ever touch the face
[Verse 3]
Aspiration risk — the stomach isn't always what you assume
Solids: eight-hour fast, breast milk is four, clear fluids just two
GLP-one agonists delay gastric emptying, slow the pour
Even fasted patients may pool — so probe before you score
Gastric ultrasound: antrum in right lateral decubitus view
Empty antrum, grade zero; grade two is full — that shifts what you do
High-risk features: symptomatic reflux, trauma, bowel obstruction too
Modified RSI or awake — el riesgo dicta la ruta
[Chorus]
Mallampati, boca abierta, distancia al mentón
Thyromental distance, neck mobility, upper lip bite — toma nota
Predicting the difficult airway, it's never just one sign
Ningún predictor solo — combine the whole design
Mask ventilation, laryngoscopy, SGA, front-of-neck
Evalúa todo — or you'll land a wreck