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Fig. 6.9 Direct laryngoscopy. A pillow is used to create cervical flexion. The operators right hand controls atlanto-occipital extension and facilitates the opening of the patient’s mouth. The curved laryngoscope blade has been inserted into the right side of the patient’s mouth, displacing the tongue to the left. The tip of the curved larygoscope blade is at the base of the tongue and epiglottis. An upward and forward (30 - 45 degree) lifting force is used to expose the glottis. Note the operator’s proper stance avoids a stooped posture.