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Multiple Choice

Which of the following best describes the maneuver when using a straight blade to visualize the glottis?

Visually exposing the glottis with a straight blade relies on lifting the epiglottis directly with the blade tip. The Miller blade, being straight, is designed to slip under or behind the epiglottis and then lift it upward, which clears the vocal cords for an easy view of the glottic opening. This direct epiglottis elevation is what sets straight blades apart from curved blades, which lift the epiglottis indirectly by elevating the surrounding structures via the vallecula. While extending the neck can help align airway axes in general, it is not the specific maneuver used to visualize the glottis with a straight blade. Stabilizing the mandible and pressing upward isn’t the classical technique for this approach, and inserting the blade directly into the larynx would be inappropriate and unsafe.

Visually exposing the glottis with a straight blade relies on lifting the epiglottis directly with the blade tip. The Miller blade, being straight, is designed to slip under or behind the epiglottis and then lift it upward, which clears the vocal cords for an easy view of the glottic opening. This direct epiglottis elevation is what sets straight blades apart from curved blades, which lift the epiglottis indirectly by elevating the surrounding structures via the vallecula. While extending the neck can help align airway axes in general, it is not the specific maneuver used to visualize the glottis with a straight blade. Stabilizing the mandible and pressing upward isn’t the classical technique for this approach, and inserting the blade directly into the larynx would be inappropriate and unsafe.