International Journal of Medical Sciences

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23 October 2017

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Int J Med Sci 2014; 11(12):1258-1261. doi:10.7150/ijms.8585

Research Paper

Age and Gender Are Important Considerations in Choosing the Sniffing Position for Laryngoscopic View

Sung-Wook Park1, Kang-Woo Lee1, Myung-Soo Jang1, Jun-Young Jung2, Bong-Jae Lee2, Jong-Man Kang2✉

1. Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital, Kyung Hee University, Seoul, Korea,
2. Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Korea

Abstract

Aims: The sniffing position is considered to be the standard position for direct laryngoscopic viewing. This crossover study evaluated age and gender as variables in comparing the benefits of the sniffing position over simple head extension for laryngeal view during direct laryngoscopy.

Methods: Laryngoscopy with a curved blade was performed on 200 anesthetized adults (100 males, 100 females) presenting for routine elective surgery. Glottic visualization was assessed by using the percentage of glottic opening (POGO) score in both simple extension and sniffing positions without the aid of the assistant or external laryngeal manipulation. Each gender group was divided into a younger group (< 50 years) and an older group (≥ 50 years). POGO scores were compared between both positions within each group.

Results: Mean (SD) POGO scores increased significantly only in younger male patients from 43% (39%) in the head extension position to 76% (30%) in the sniffing position.

Conclusion: The sniffing position seems to be advantageous for getting a better laryngeal view during laryngoscopy for tracheal intubation in adult male patients less than 50 years old.

Keywords: age, gender, POGO, head extension, laryngeal view, sniffing position

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See http://ivyspring.com/terms for full terms and conditions.
How to cite this article:
Park SW, Lee KW, Jang MS, Jung JY, Lee BJ, Kang JM. Age and Gender Are Important Considerations in Choosing the Sniffing Position for Laryngoscopic View. Int J Med Sci 2014; 11(12):1258-1261. doi:10.7150/ijms.8585. Available from http://www.medsci.org/v11p1258.htm