The sniffing position provides greater occipito-atlanto-axial angulation than simple head extension: A radiological study

Canadian Journal of Anesthesia

Volumn 54, Issue 2, 2007, Pages 129-133

  Takenaka, Ichiro ^a   Aoyama, Kazuyoshi ^a   Iwagaki, Tamao ^a   Ishimura, Hiroshi ^a   Kadoya, Tatsuo ^a  

^a STEEL MEMORIAL YAWATA HOSPITAL   (Japan)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ATLANTOOCCIPITAL JOINT; CERVICAL SPINE RADIOGRAPHY; CLINICAL ARTICLE; CONTROLLED STUDY; HEAD POSITION; HUMAN; LARYNGOSCOPY; MALE; NORMAL HUMAN; PATIENT POSITIONING; PRIORITY JOURNAL; RANGE OF MOTION;

EID: 33947728348     PISSN: 0832610X     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF03022009     Document Type: Article

References (14)

1. Horton WA, Fahy L, Charters P. Defining a standard intubating position using "angle finder". Br J Anaesth 1989; 62: 6-12.
2. Benumof JL. Difficult laryngoscopy: obtaining the best view. (Editorial) Can J Anaesth 1994; 41: 361-5.
3. Benumof JL. Conventional (laryngoscopic) orotracheal and nasotracheal intubation (single-lumen tube). In: Benumof JL (Ed.). Airway Management: Principles and Practice, 1st ed. St. Louis: Mosby; 1996: 261-76.
4. Gal TJ. Airway management. In: Miller RD (Ed.). Anesthesia, 6th ed. Philadelphia: Elsevier Churchill Livingstone; 2005: 1637-5.
5. Adnet F, Borron SW, Dumas JL, Lapostolle F, Cupa M, Lapandry C. Study of the "sniffing position" by magnetic resonance imaging. Anesthesiology 2001; 94: 83-6.
6. Adnet F, Baillard C, Borron SW, et al. Randomized study comparing the "sniffing position" with simple head extension for laryngoscopic view in elective surgery patients. Anesthesiology 2001; 95: 836-41.
7. Sawin PD, Todd MM, Traynelis VC, et al. Cervical spine motion with direct laryngoscopy and orotracheal intubation. An in vivo cinefluoroscopic study of subjects without cervical abnormality. Anesthesiology 1996; 85: 26-36.
8. Calder I, Calder J, Crockard HA. Difficult direct laryngoscopy in patients with cervical spine disease. Anaesthesia 1995; 50: 756-63.
9. Calder I, Picard J, Chapman M, O'Sullivan C, Crockard HA. Mouth opening: a new angle. Anesthesiology 2003; 99: 799-801.
10. Urakami Y, Takenaka I, Nakamura M, Fukuyama H, Aoyama K, Kadoya T. The reliability of the Bellhouse test for evaluating extension capacity of the occipitoat-lantoaxial complex. Anesth Analg 2002; 95: 1437-41.
11. Ordway NR, Seymour RJ, Donelson RG, Hojnowski LS, Edwards WT. Cervical flexion, extension, protrusion, and retraction. A radiographic segmental analysis. Spine 1999; 24: 240-7.
12. Horton WA, Fahy L, Charters P. Disposition of cervical vertebrae, atlanto-axial joint, hyoid and mandible during x-ray laryngoscopy. Br J Anaesth 1989; 63: 435-8.
13. Panjabi M, Dvorak J, Duranceau J, et al. Three-dimensional movements of the upper cervical spine. Spine 1988; 13: 726-30.
14. Isono S. Common practice and concepts in anesthesia: time for reassessment: is the sniffing position a "gold standard" for laryngoscopy? (Editorial). Anesthesiology 2001; 95: 825-7.