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COPUR Colorado Pediatric Airway Score

Last modified: 15 August 2022, 11:43:51 AM AEST

Notes1 / 2

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C = Chin
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- From the side, is the chin
- 1 = Normal
- 2 = Small / moderate hypoplasia
- 3 = Marked recessive
- 4 = Extremely hypoplastic
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O = Opening
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- Interdental distance between front teeth
- 1 = 40 mm
- 2 = 20-40 mm
- 3 = 10-20 mm
- 4 = 0-10 mm
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P = Previous intubations, OSA
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- 1 = Previous intubations without difficulty
- 2 = No past intubations no OSA
- 3 = Previous difficult intubations / OSA
- 4 = Difficult intubation = extreme / unsuccessful / emergency tracheostomy / unable to sleep supine
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U = Uvula
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- Mouth open, tongue out, observe palate
- 1 = tip of uvula present
- 2 = uvula partially visible
- 3 = soft palate only
- 4 = no soft palate
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R = Range
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- Observe line from ear to orbit, estimate ROM, looking up and down
- 1 = 120 degrees
- 2 = 60-120
- 3 = 30-60
- 4 = 0-30
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Modifiers
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- Add point if
- 1 = Prominent front buck teeth
- 1 = Macroglossia
- 1 = Extreme obesity
- 1 = Mucopolysaccharidoses
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Scores2 / 2

5-7 = Easy, normal intubations
8-10 = More difficult, laryngeal pressure may help
12 = Difficult intubation
14 = Difficult intubation, FOB / other
16 = Dangerous, consider awake intubation / advanced / tracheostomy
17+ = Usually incompatible with life without an artificial airway
Max = 24

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