Clinical Study

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

Table 5

Variables of the intubation difficulty scale.

Sniffing positionSimple extension 𝑃 value
( 𝑛 = 2 7 5 )( 𝑛 = 2 7 1 )

Attempts > 120 (7.3)34 (12.5)0.010
Operators > 10 (0)0 (0)
Cormack grade > 1104 (37.8)126 (46.5)0.610
Increased lifting force16 (5.8)35 (12.9)0.004
ELM90 (32.7)118 (43.5)0.009
Alternative techniques13 (4.7)26 (9.6)0.027
Vocal cords adducted0 (0)0 (0)

ELM: External laryngeal manipulation. Values are numbers (percent).