ICU and Critical Care · Anaesthesiology
MACOCHA Score for Difficult ICU Intubation calculator
Enter the published formula inputs below to calculate and interpret this score.
Clinical inputs
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MACOCHA 0–2 — lower difficult-intubation risk
Band: MACOCHA 0–2 — lower difficult-intubation risk
Interpretation. MACOCHA 0–2 — lower difficult-intubation risk
Suggested management. Lower predicted difficult ICU intubation risk.
MACOCHA Score for Difficult ICU Intubation: 0 — MACOCHA 0–2 — lower difficult-intubation risk. Interpretation: MACOCHA 0–2 — lower difficult-intubation risk What to do: Lower predicted difficult ICU intubation risk. Inputs: Mallampati III or IV (+5): false; Obstructive sleep apnea syndrome (+2): false; Reduced mobility of cervical spine (+1): false; Limited mouth opening (+1): false; Coma (+1): false; Severe hypoxemia (+1): false; Non-anesthesiologist operator (+1): false Source: De Jong A et al. Early identification of patients at risk for difficult intubation in the intensive care unit: development and validation of the MACOCHA score. Am J Respir Crit Care Med. DOI: 10.1164/rccm.201210-1851OC. PMID: 23348979. Scope: Mallampati III/IV +5, OSA +2, reduced cervical mobility +1, limited mouth opening +1, Coma +1, severe Hypoxemia +1, non-Anesthesiologist +1 (total 0–12); higher scores predict difficult ICU intubation. (2013)
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Clinical inputs
- Mallampati III or IV (+5)
- Obstructive sleep apnea syndrome (+2)
- Reduced mobility of cervical spine (+1)
- Limited mouth opening (+1)
- Coma (+1)
- Severe hypoxemia (+1)
- Non-anesthesiologist operator (+1)
Primary source
De Jong A et al. Early identification of patients at risk for difficult intubation in the intensive care unit: development and validation of the MACOCHA score. Am J Respir Crit Care Med. DOI: 10.1164/rccm.201210-1851OC. PMID: 23348979. Scope: Mallampati III/IV +5, OSA +2, reduced cervical mobility +1, limited mouth opening +1, Coma +1, severe Hypoxemia +1, non-Anesthesiologist +1 (total 0–12); higher scores predict difficult ICU intubation. (2013)
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