Han Scale

Facemask ventilation requires the ability to cover the mouth and nose with a facemask, produce a seal and clear the airway.

Difficulty of mask ventilation (DMV) has been classified using the Han scale.

Han Scale Classification

1

Easy mask ventilation

2

Needs oral airway or adjuvant with or without neuromuscular blocking agents (NMBA)

3

Difficult - inadequate or unstable or requiring two care providers, with or without NMBA

4

Impossible - unable to mask ventilate with or without NMBA

Table 1 Han scale classification