I always felt there was a direct relationship regarding the distance between a patient's nose and the laryngoscopist's nose based on their level of experience. Beginning laryngoscopists appear to be kissing the patient on the forehead; their noses almost touching. With greater experience, that distance widens until the laryngoscopist actually stands upright and intubates with arms slightly extended. With extreme age, the arms are fully extended during laryngoscopy, and may actually be too short for optimal visualization as advanced age sets in. Hope this helps!
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