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Braz J Anesthesiol. 2014 Jan-Feb;64(1):62-5. doi: 10.1016/j.bjane.2013.03.001. Epub 2013 Oct 11.

Effectiveness of the C-MAC video laryngoscope in the management of unexpected failed intubations.

Author information

1
Department of Anaesthesiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey. Electronic address: dralperkilicaslan@gmail.com.
2
Department of Anaesthesiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.

Abstract

BACKGROUND AND OBJECTIVES:

The purpose of this study was to review the experiences of an anesthesiology department regarding the use of a C-MAC videolaryngoscope in unexpected failed intubation attempts.

METHODS:

Data were analyzed from 42 patients whose intubation attempts using Macintosh direct laryngoscopes had failed, and on whom a C-MAC videolaryngoscope was utilized as the primary rescue device. The success rate of C-MAC in intubation was assessed, and laryngeal views from both devices were compared.

RESULTS:

The Cormack and Lehane score was III in 41 patients, and IV in one patient, with the Macintosh laryngoscope, while Cormack and Lehane score was I in 27 patients, II in 14 and III in one with CMAC. Tracheal intubation with CMAC was successful on the first attempt in 36 patients (86%), and on the second attempt in 6 patients (14%). No complications were observed other than minor damage (blood on blade) in 8 patients (19%).

CONCLUSION:

These data provide evidence for the clinical effectiveness of C-MAC videolaryngoscope in managing the unexpected failed intubations in routine anesthesia care. The C-MAC videolaryngoscope is efficient and safe as a primary rescue device in unexpected failed intubations.

KEYWORDS:

Airway management; Difficult intubation; Laryngoscopy

PMID:
24565390
DOI:
10.1016/j.bjane.2013.03.001
[Indexed for MEDLINE]
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