Anaesthesia · Airway Management (Difficult Airway, Intubation, Airway Devices)

During preoperative airway assessment, thyromental distance is measured from the thyroid notch to the mental prominence with the head fully extended. Below which value is difficult laryngoscopy predicted?

  • A Less than 6.5 cm
  • B Less than 4 cm
  • C Less than 9 cm
  • D Less than 11 cm
Correct answer: A. Less than 6.5 cm

Explanation

B thyromental distance of more than 6.5 cm (roughly three finger breadths) predicts easy laryngoscopy because it reflects adequate mandibular space allowing the tongue to displace during laryngoscopy. B distance under 6.5 cm predicts difficulty. The other values are incorrect thresholds; 4 cm is far too low and would represent an extreme anatomical abnormality rather than the standard screening cut-off.

Reference: Morgan and Mikhail's Clinical Anesthesiology, 7th ed.

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