Eficácia do videolaringoscópio C-MAC no manejo de intubações malsucedidas inesperadas

Kılıçaslan, Alper; Topal, Ahmet; Tavlan, Aybars; Erol, Atilla; Otelcioğlu, Şeref

doi:10.1016/j.bjan.2013.03.001

Cited by 20 publications

(15 citation statements)

References 14 publications

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“…We observed first attempt success rate in 90.0% of our patients using PIS. This finding is similar to that observed by Kilicaslan et al ( 12 ) who noted that ETT could be placed in the trachea on the first attempt in 86% and on the second attempt in 14% patients using Storz C-Mac videolaryngoscope after initial failure with conventional Macintosh laryngoscope. Time to achieve optimal laryngoscopic view of the glottis and total intubation time achieved in this study were similar to those reported by others ( 13 ).…”

Section: Discussionsupporting

confidence: 90%

Comparison of Tracheal Intubation Using the Storz’s C-Mac D-bladeTM Video-Laryngoscope Aided by TruflexTM Articulating Stylet and the PortexTM Intubating Stylet

Al-Qasmi

Al-Alawi

Malik³

et al. 2015

Anesth Pain Med

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Background:Tracheal intubation using Storz’s C-Mac D-bladeTM videolaryngoscope is associated with difficult negotiation of the tracheal tube into the glottis due to steep angulation of its blade.Objectives:In this study, we hypothesized that TruflexTM articulating stylet with its ability to dynamically tailor the ETT shape to patients’ oropharyngeal anatomy would be better suited to the D-blade angulation and ease tracheal intubation compared to PortexTM intubation stylet.Patients and Methods:Following approval by the Ethical Issues Committee and informed consent, 218 ASA I and II patients of either sex were enrolled in this interventional, single-blind, randomized controlled trial. Tracheal intubation was performed following a uniform general anesthetic technique using the Storz’s C-Mac D-bladeTM videolaryngoscope aided by either TruflexTM articulating stylet or the PortexTM intubation stylet by an experienced anesthesiologist. The outcome measures included success or failure to intubate in the first attempt, total intubation time, hemodynamic disturbances, trauma if any and user satisfaction.Results:The number of patients in whom intubation was successful in the first attempt was significantly higher by using Truflex™ articulating stylet (99.1%) compared to PortexTM intubation stylet (90.0%; P-Value = 0.003). User satisfaction grade was significantly better while using TruflexTM articulating stylet (8.5 ± 0.88) compared to the PortexTM intubation stylet (8.23 ± 0.99; P-Value = 0.035). We did not observe any significant difference in total intubation time, hemodynamic disturbances or trauma.Conclusions:Storz’s C-Mac D-bladeTM videolaryngoscope provides grade I Cormack and Lehane’s glottic view in 99.1% patients. First attempt successful tracheal intubation and user satisfaction significantly improved by TruflexTM articulating stylet compared to the PortexTM intubation stylet.

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Section: Discussionsupporting

confidence: 90%

Comparison of Tracheal Intubation Using the Storz’s C-Mac D-bladeTM Video-Laryngoscope Aided by TruflexTM Articulating Stylet and the PortexTM Intubating Stylet

Al-Qasmi

Al-Alawi

Malik³

et al. 2015

Anesth Pain Med

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“…Video laryngoscopes, for difficult airway, consist of a laryngoscope with a light source and a camera in distal blade. In contrast to conventional blade having about 15′-visual field, video laryngoscopes make wider visual angle because of the camera on distal blade [ 4 ]. In special situation, such as, in ambulance or helicopter, occasionally, there is no space at patient's upper side for conventional intubation, So operator has to intubate on lateral or frontal side of patient [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…We examined this study to investigate whether video laryngoscopes are helpful in special situation like being entrapped in car or permitted narrow space and whether video laryngoscopes are more useful than conventional intubation set (Macintosh blade). We choose several video laryngoscopes: AWS which has endotracheal tube-guiding groove channel in distal blade (P blade), GVL with difficult blade for difficult airway that has elliptically tapered blade shape rising to distal, and C-MAC with conventional blade which has the same blade angle compared with Macintosh blade [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Endotracheal intubation success rates are variable depending on airway structure, patient's clinical status, practitioner's skills, and so forth [ 2 , 3 ]. The video laryngoscopes, recently and widely used, are good substitutes for conventional direct laryngoscope in difficult airway management [ 4 ]. They mount camera lens at the tip of laryngoscope and more curved blade, so that intubation can be performed safely and comfortably with clear and wide internal field of vision [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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A Randomized Comparison Simulating Face to Face Endotracheal Intubation of Pentax Airway Scope, C-MAC Video Laryngoscope, Glidescope Video Laryngoscope, and Macintosh Laryngoscope

Choi

Kang

et al. 2015

BioMed Research International

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Objectives. Early airway management is very important for severely ill patients. This study aimed to investigate the efficacy of face to face intubation in four different types of laryngoscopes (Macintosh laryngoscope, Pentax airway scope (AWS), Glidescope video laryngoscope (GVL), and C-MAC video laryngoscope (C-MAC)). Method. Ninety-five nurses and emergency medical technicians were trained to use the AWS, C-MAC, GVL and Macintosh laryngoscope with standard airway trainer manikin and face to face intubation. We compared VCET (vocal cord exposure time), tube pass time, 1st ventilation time, VCET to tube pass time, tube pass time to 1st ventilation time, and POGO (percentage of glottis opening) score. In addition, we compared success rate according to the number of attempts and complications. Result. VCET was similar among all laryngoscopes and POGO score was higher in AWS. AWS and Macintosh blade were faster than GVL and C-MAC in total intubation time. Face to face intubation success rate was lower in GVL than other laryngoscopes. Conclusion. AWS and Macintosh were favorable laryngoscopes in face to face intubation. GVL had disadvantage performing face to face intubation.

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“…In 42 patients whose intubation attempts using Macintosh laryngoscope had failed, C-MAC videolaryngoscope produced improved laryngeal views, achieved a 86% success rate of intubation at the first attempt and a 100% total success rate of intubation without severe complications other than minor airway damage 37. In a morbidly obese (body mass index [BMI] 36 kg/m 2 ) patient, 3 attempts at Macintosh direct laryngoscopy failed with each resulting in a Cormack–Lehane grade 4 view 38.…”

Section: Introductionmentioning

confidence: 99%

Current evidence for the use of C-MAC videolaryngoscope in adult airway management: a review of the literature

Xue

Liu

et al. 2017

TCRM

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The C-MAC videolaryngoscope is the first Macintosh-typed videolaryngoscope. Since the advent of its original version video Macintosh system in 1999, this device has been modified several times. A unique feature of C-MAC device is its ability to provide the 2 options of direct and video laryngoscopy with the same device. The available evidence shows that in patients with normal airways, C-MAC videolaryngoscope compared with direct laryngoscopy can provide comparable or better laryngeal views and exerts less force on maxillary incisors, but does not offer conclusive benefits with regard to intubation time, intubation success, number of intubation attempts, the use of adjuncts, and hemodynamic responses to intubation. In patients with predicted or known difficult airways, C-MAC videolaryngoscope can achieve a better laryngeal view, a higher intubation success rate and a shorter intubation time than direct laryngoscopy. Furthermore, the option to perform direct and video laryngoscopy with the same device makes C-MAC videolaryngoscope exceptionally useful for emergency intubation. In addition, the C-MAC videolaryngoscope is a very good tool for tracheal intubation teaching. However, tracheal intubation with C-MAC videolaryngoscope may occasionally fail and introduction of C-MAC videolaryngoscope in clinical practice must be accompanied by formal training programs in normal and difficult airway managements.

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Eficácia do videolaringoscópio C-MAC no manejo de intubações malsucedidas inesperadas

Abstract: 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.

Cited by 20 publications

References 14 publications

Comparison of Tracheal Intubation Using the Storz’s C-Mac D-bladeTM Video-Laryngoscope Aided by TruflexTM Articulating Stylet and the PortexTM Intubating Stylet

Comparison of Tracheal Intubation Using the Storz’s C-Mac D-bladeTM Video-Laryngoscope Aided by TruflexTM Articulating Stylet and the PortexTM Intubating Stylet

A Randomized Comparison Simulating Face to Face Endotracheal Intubation of Pentax Airway Scope, C-MAC Video Laryngoscope, Glidescope Video Laryngoscope, and Macintosh Laryngoscope

Current evidence for the use of C-MAC videolaryngoscope in adult airway management: a review of the literature

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