MDCalc

MACOCHA Score

Predicts difficult intubation in ICU patients.

Factors related to patient

Mallampati score III or IV

Obstructive sleep apnea syndrome

Reduced mobility of cervical spine

Limited mouth opening, <3 cm

Factors related to pathology

Coma

Severe hypoxemia (<80%)

Factor related to operator

Nonanesthesiologist

Result:

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Advice

As the score increases from 0, so does the possibility of a difficult intubation in your patient. If difficulties are anticipated, gather additional staff and equipment as warranted by the clinical situation.