Posture used by anaesthetists during laryngoscopy

Br J Anaesth. 2002 Nov;89(5):772-4.

Abstract

Background: There is little advice on the posture to be used when intubating the trachea. Does the stance used depend on experience?

Methods: Twenty-six subjects with varying experience of intubation were photographed during laryngoscopy of an intubation training mannequin. Posture was measured from the photographs and the data were analysed with the Mann-Whitney U-test.

Results: The less experienced group had shallower lines of sight, levered more, and stood with their face closer to the mannequin (P=0.037, 0.018 and 0.06 respectively).

Conclusions: Novice anaesthetists should be given explicit instructions on correct trolley height and should be taught to intubate with a straight back.

MeSH terms

  • Anesthesiology*
  • Clinical Competence
  • Humans
  • Intubation, Intratracheal / instrumentation
  • Intubation, Intratracheal / methods*
  • Laryngoscopy / methods*
  • Posture*