{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:35Z","timestamp":1787071115601,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T00:00:00Z","timestamp":1723766400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Traditionally, the sniffing position has been considered a standard head and neck position during direct laryngoscopy. The perfect head and neck position for video laryngoscopy has yet not been described. Hence, we planned the present study to compare the neutral and sniffing position for ease of intubation using Airtraq.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 60 patients were randomized into two groups. Patients were intubated with their heads in neutral and sniffing positions in Group NP and SP, respectively. Ease of intubation was taken as a primary outcome. Laryngoscopy time, intubation time, percentage of glottic opening (POGO), the number of attempts for Airtraq and endotracheal tube, insertion of Airtraq, the success rate of intubation, optimization maneuvers, and complications were taken as secondary objectives. Data were analyzed using SPSS software, V.22.(1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      For ease of intubation, we used a visual analog scale (VAS) and Fremantle scores. VAS score (mm) in the median (interquartile range [IQR]) was 32 (24, 34) and 28 (24, 32) in NP and SP groups, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.37). Twenty-four (80%) patients in NP and 23 (76.67%) patients in the SP group had a Fremantle score of F1 (full view; easy intubation). One (3.33%) patient in both groups had a score of F2 (full view; modified intubation). Five (16.67%) and six (20%) patients in NP and SP groups had P1 scores. Overall, there was no difference in Fremantle\u2019s score between the groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.945). The number of attempts, optimization maneuvers, and complications were statistically comparable between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is no difference in the ease of intubation between the neutral and sniffing position using the Airtraq optical laryngoscope.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joacp.joacp_10_23","type":"journal-article","created":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T08:00:09Z","timestamp":1723881609000},"page":"598-604","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of neutral and sniffing position for ease of endotracheal intubation using Airtraq optical laryngoscope-A randomized trial"],"prefix":"10.4103","volume":"40","author":[{"given":"Mamta","family":"Bhardwaj","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Critical Care, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Priya","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Rashmi","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiranpreet","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Sunny","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,8,16]]},"reference":[{"key":"R1-20241202","first-page":"103","article-title":"Head and neck position for direct laryngoscopy","volume":"113","author":"El-Orbany","year":"2011","journal-title":"AnesthAnalg"},{"issue":"(Suppl 1)","key":"R2-20241202","doi-asserted-by":"crossref","first-page":"i9","DOI":"10.1093\/bja\/aew052","article-title":"Seeing is believing:Getting the best out of videolaryngoscopy","volume":"117","author":"Kelly","year":"2016","journal-title":"Br J Anaesth"},{"key":"R3-20241202","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1007\/s12630-012-9859-5","article-title":"Review article:Video-laryngoscopy:Another tool for difficult intubation or a new paradigm in airway management?","volume":"60","author":"Paolini","year":"2013","journal-title":"Can J Anaesth"},{"key":"R4-20241202","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1093\/bja\/aew128","article-title":"Predictors of difficult videolaryngoscopy with GlideScope or C-MAC with D-blade:secondary analysis from a large comparative videolaryngoscopy trial","volume":"117","author":"Aziz","year":"2016","journal-title":"Br J Anaesth"},{"key":"R5-20241202","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1093\/bja\/aev371","article-title":"Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults","volume":"115","author":"Frerk","year":"2015","journal-title":"Br J Anaesth"},{"key":"R6-20241202","first-page":"71","article-title":"The importance of first pass success when performing orotracheal intubation in the emergency department","volume":"20","author":"Sakles","year":"2013","journal-title":"AcadEmerg Med"},{"key":"R7-20241202","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s00540-007-0601-3","article-title":"In-line head and neck position is preferable for tracheal intubation with the Airtraqlaryngoscope compared to the sniffing position","volume":"22","author":"Hirabayashi","year":"2008","journal-title":"J Anesth"},{"key":"R8-20241202","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1111\/anae.13837","article-title":"Accuracy, intra- and inter-rater reliabilityof three scoring systems for the glottic view at videolaryngoscopy","volume":"72","author":"O'Loughlin","year":"2017","journal-title":"Anaesthesia"},{"key":"R9-20241202","first-page":"697","article-title":"The development and preliminary evaluation of a proposed new scoring system for videolaryngoscopy","volume":"40","author":"Swann","year":"2012","journal-title":"AnaesthIntensive Care"},{"key":"R10-20241202","doi-asserted-by":"crossref","first-page":"35","DOI":"10.4103\/2229-5151.128011","article-title":"Videolaryngoscopy","volume":"4","author":"Chemsian","year":"2014","journal-title":"Int J Crit IllnInj Sci"},{"key":"R11-20241202","doi-asserted-by":"crossref","first-page":"206","DOI":"10.4103\/sja.SJA_808_19","article-title":"Is video laryngoscopy easier than direct laryngoscopy for intubation inpatients with contracture neck?","volume":"14","author":"Gupta","year":"2020","journal-title":"Saudi J Anaesth"},{"key":"R12-20241202","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1111\/j.1365-2044.2011.06881.x","article-title":"Laryngoscopy:Time to shed fresh light?","volume":"66","author":"Ahmed-Nusrath","year":"2011","journal-title":"Anaesthesia"},{"key":"R13-20241202","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1111\/anae.14289","article-title":"A randomised clinical trial comparing the 'sniffing'and neutral position using channelled (KingVision and non-channelled (C-MAC) videolaryngoscopes","volume":"73","author":"Mendonca","year":"2018","journal-title":"Anaesthesia"},{"key":"R14-20241202","doi-asserted-by":"crossref","first-page":"221","DOI":"10.4103\/joacp.JOACP_370_15","article-title":"A comparative study of McGrath and Airtraqvideolaryngoscopes for tracheal intubation","volume":"33","author":"Raza","year":"2017","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R15-20241202","first-page":"26","article-title":"Comparison of the C-MAC, Airtraq and Mc Coy laryngoscopes in patients undergoing tracheal intubation with cervical spine immobilization- a prospective observational study","volume":"17","author":"Chugh","year":"2018","journal-title":"IOSR JDent Med Sci"},{"key":"R16-20241202","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1093\/bja\/aer099","article-title":"Comparison of the C-MAC, Airtraq, and Macintosh laryngoscopes in patients undergoing tracheal intubation with cervical spine immobilization","volume":"107","author":"McElwain","year":"2011","journal-title":"Br J Anaesth"},{"key":"R17-20241202","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/ALN.0000000000004002","article-title":"2022 American Society of anesthesiologists practice guidelines for management of the difficult airway","volume":"136","author":"Apfelbaum","year":"2022","journal-title":"Anesthesiology"}],"container-title":["Journal of Anaesthesiology Clinical Pharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/joacp.joacp_10_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:41:42Z","timestamp":1787067702000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/joacp.joacp_10_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,16]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/joacp.joacp_10_23","relation":{},"ISSN":["0970-9185","2231-2730"],"issn-type":[{"value":"0970-9185","type":"print"},{"value":"2231-2730","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,16]]},"assertion":[{"value":"2023-01-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}