{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:45:07Z","timestamp":1790660707396,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,7,21]],"date-time":"2019-07-21T00:00:00Z","timestamp":1563667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We aimed to evaluate glottis visualization and time to intubation in children younger than 2\u00a0years of age during laryngoscopy performed with a C\u2010MAC Miller Video Laryngoscope in a position determined by placing a folded towel under the shoulders to align the oral\u2010pharyngeal and laryngeal axes in the horizontal plane.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ninety\u2010six children younger than 2\u00a0years of age, who were classified by the American Society of Anesthesiologists as having a physical status I or II and who were scheduled for elective surgery necessitating endotracheal intubation under general anesthesia, were included in the study. All patients were intubated with a C\u2010MAC Miller Video Laryngoscope. The children intubated by placing a folded towel under the shoulders were categorized as Group 1 (n\u00a0=\u00a048), and the children intubated without placement of a folded towel were categorized as Group 2 (n\u00a0=\u00a048). The percentage of glottis opening and Cormack\u2010Lehane Scores, values of visual analogue scale to determine the ease of using a C\u2010MAC Miller Video Laryngoscope, time to intubation, number of intubation attempts, optimization procedures and complications were recorded for all children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a statistically significant difference between Group 1 (mean\u00a0\u00b1\u00a0SD; 97.71\u00a0\u00b1\u00a04.24) and Group 2 (mean\u00a0\u00b1\u00a0SD; 94.17\u00a0\u00b1\u00a07.09) in terms of the percentage of glottis opening scores (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.004). The mean difference in the percentage of glottis opening scores (95% confidence interval) between the groups was 3.54 (1.17\u20105.90).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We showed that a folded towel placed under the shoulders in children younger than 2\u00a0years of age improves glottis visualization provides ease of use of the C\u2010MAC Miller Video Laryngoscope. Therefore, we think that the placement of a folded towel under the shoulders during the use of a C\u2010MAC Miller Video Laryngoscope may be useful for airway management in children younger than 2\u00a0years of age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.13685","type":"journal-article","created":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T15:29:33Z","timestamp":1560871773000},"page":"814-820","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The effect of placement of a support under the shoulders on laryngeal visualization with a C\u2010MAC Miller Video Laryngoscope in children younger than 2\u00a0years of age"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7774-9971","authenticated-orcid":false,"given":"Zeynep","family":"Koylu Mizrak","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Reanimation, School of Medicine Inonu University Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9506-1871","authenticated-orcid":false,"given":"Zekine","family":"Begec","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Reanimation, School of Medicine Inonu University Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3738-1751","authenticated-orcid":false,"given":"Ulku","family":"Ozgul","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Reanimation, School of Medicine Inonu University Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5406-098X","authenticated-orcid":false,"given":"Cemil","family":"Colak","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, and Medical Informatics, School of Medicine Inonu University Malatya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aex073"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12458"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03018651"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200007000-00007"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2008.02530.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2222.1997.129-az0125.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12615"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.128015"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000448"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03013137"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1998.tb02823.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31821c7e9c"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.01.048"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2009.03127.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2014(01)04"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4808482"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000001296"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13316"}],"container-title":["Pediatric 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