ROMAN mnemonic for difficult bag mask ventilation

Radiation (head and neck)/Restriction (poor lung compliance)

Obesity/Obstruction (upper airway)/Obstructive sleep apnea

Mask seal/Mallampati (class III or IV)/Male

Age over 55 years

No teeth

Adapted from: Brown III CA, Walls RM. Identification of the difficult and failed airway. In: The Walls Manual of Emergency Airway Management, 5th ed, Brown III CA, Sakles JC, Mick NW (Eds), Wolters Kluwer, Philadelphia 2018.

Graphic 73627 Version 7.0

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ROMAN mnemonic for difficult bag mask ventilation