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Version August 2025
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ROMAN mnemonic for difficult bag mask ventilation
ROMAN mnemonic for difficult bag mask ventilation
R
adiation (head and neck)/
R
estriction (poor lung compliance)
O
besity/
O
bstruction (upper airway)/
O
bstructive sleep apnea
M
ask seal/
M
allampati (class III or IV)/
M
ale
A
ge over 55 years
N
o 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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