Clinical Study

Comparative Evaluation of the Sniffing Position with Simple Head Extension for Laryngoscopic View and Intubation Difficulty in Adults Undergoing Elective Surgery

Table 1

Patient characteristics.

Sniffing positionSimple extension š‘ƒ value
( š‘› = 2 7 5 )( š‘› = 2 7 1 )

Age (yr) 3 8 . 7 ± 1 3 . 1 3 6 . 1 ± 1 4 . 1 0.022
Sex ratio (M : F)80 : 19594 : 1770.161
Weight (kg) 5 4 . 7 ± 1 1 . 1 5 2 . 8 ± 8 . 5 0.022
Body mass index (kg/m2) 2 1 . 5 ± 4 . 1 2 0 . 6 ± 3 . 3 0.005
Thyromental distance (cm) 7 . 1 ± 0 . 8 7 ± 0 . 8 0.118
Sternomental distance (cm) 1 5 ± 1 . 7 1 4 . 9 ± 1 . 6 0.705
Neck length (cm) 1 5 . 7 ± 1 . 6 1 5 . 7 ± 1 . 7 0.840
Predictors of difficult intubation
Mouth opening <3 cm0 (0)0 (0)—
Modified Mallampati class3 I/II/III/IV176/56/22/21181/44/31/150.260
Thyromental distance <6.5 cm37 (13.5)45 (16.6)0.303
Sternomental distance <12.5 cm12 (4.4)10 (3.7)0.689
Neck movement <80°0 (0)0 (0)—
Short neck14 (5.1)11 (4.1)0.683
Receding mandible3 (1.1)1 (0.4)0.624
Beard4 (1.5)7 (2.6)0.380
Maxillary incisors0.582
ā€ƒLoose4 (1.5)4 (1.5)
ā€ƒMissing10 (3.6)7 (2.6)
ā€ƒProtruding17 (6.2)16 (5.9)
ā€ƒEdentulous8 (2.9)3 (1.1)

Values are mean ± SD or numbers (percent).