WITHDRAWN: A randomized trial to compare the Truview picture capture device, C-MAC laryngoscope, and Macintosh laryngoscope in pediatric airway management

Singh, Ranju; Kumar, Nishant; Jain, Aparna

doi:10.1016/j.aat.2015.01.001

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…In different studies, end point of time for intubation has been varied from the appearance of the etCO 2 trace detection, blade removal from the mouth, first manual ventilation, and so forth [ 3 , 5 , 7 , 10 , 11 ]. In the present study, time for intubation was taken from the touching of the tip of the VLS Miller blade till ETT passed through the glottis in the monitor, as all intubations were done with VLS.…”

Section: Discussionmentioning

confidence: 99%

“…The C-MAC VLS system (Karl Storz GmbH & Co. KG, Tuttlingen, Germany) is a new device with different sized blades including Miller 0 and 1 blades [ 6 ]. In children, very few studies compared the C-MAC VLS with the conventional Macintosh laryngoscope and other VLSs [ 7 , 8 ]. Though stylet guides the endotracheal tube (ETT) towards the glottic opening during indirect laryngoscopy, its usefulness with C-MAC VLS Miller blade in children has not been evaluated to date [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study

Saxena

Sharma

Ray

et al. 2016

Anesthesiology Research and Practice

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Background. Ease of endotracheal intubation with C-MAC video laryngoscope (VLS) with Miller blades 0 and 1 has not been evaluated in children. Methods. Sixty children weighing 3–15 kg with normal airway were randomly divided into two groups. Intubation was done with C-MAC VLS Miller blade using either nonstyletted endotracheal tube (ETT) (group WS) or styletted ETT (group S). The time for intubation and total procedure, intubation attempts, failed intubation, blade repositioning or external laryngeal maneuver, and complications were recorded. Results. The median (minimum/maximum) time for intubation in group WS and group S was 19.5 (9/48) seconds and 13.0 (18/55) seconds, respectively (p = 0.03). The median (minimum/maximum) time for procedure in group WS was 30.5 (18/72) seconds and in group S was 24.5 (14/67) seconds, respectively (p = 0.02). Intubation in first attempt was done in 28 children in group WS and in 30 children in group S. Repositioning was required in 14 children in group WS and in 7 children in group S (p = 0.06). There were no failure to intubate, desaturation, and bradycardia in both groups. Conclusion. Styletted ETT significantly reduces time for intubation and time for procedure in comparison to nonstyletted ETT.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study

Saxena

Sharma

Ray

et al. 2016

Anesthesiology Research and Practice

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“…As video laryngoscopy provides a better glottic view than conventional direct laryngoscopy, it can be effective in pediatric tracheal intubation [3]. laryngeal view [9,10].…”

Section: Discussionmentioning

confidence: 99%

Successful use of C-MAC^® video laryngoscope following failure of multiple intubation attempts during laryngomicroscopic surgery in an infant - A case report -

2017

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Airway management in pediatric patients can be especially difficult because of their anatomy and an increased risk of hypoxia. A video laryngoscope can provide a better image of laryngeal anatomical structures than can a conventional direct laryngoscope, thereby improving patient safety. Even in an emergency situation which requires immediate intubation, a video laryngoscope would be more successful than a conventional direct laryngoscope [1]. In this case report, we describe successful tracheal re-intubation using a C-MAC ® video laryngoscope after multiple intubation failures under direct laryngoscopy in a temporarily extubated pediatric patient. CASE REPoRTA 6-month-old boy (weight 4.2 kg) was scheduled for laryngomicroscopic surgery (LMS) and bougienage for subglottic A 6-month-old boy was scheduled for a laryngeal mass excision and tracheal bougienage for secondary subglottic stenosis. Following successful excision of the laryngeal mass, a tracheal tube was temporarily extubated for tracheal bougination. However, tracheal re-intubation using a direct laryngoscope with the Miller blade failed because of mucosal swelling and bloody secretions. Following multiple intubation attempts, the patient's peripheral oxygen saturation had decreased to 52%. Immediately, a video laryngoscope was requested, and, by using the C-MAC ® video laryngoscope, the patient was successfully re-intubated. Because pediatric patients are more vulnerable to desaturation, extreme caution should be used in securing airways even during a short apneic period. Using a video laryngoscope at the first intubation attempt would be useful for successful tracheal intubation.

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Porównanie trzech typów laryngoskopów podczas intubacji dziecka w warunkach symulowanego uszkodzenia kręgosłupa szyjnego

et al. 2016

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WITHDRAWN: A randomized trial to compare the Truview picture capture device, C-MAC laryngoscope, and Macintosh laryngoscope in pediatric airway management

Abstract: The Truview PCD offers the best laryngeal view, although it takes a longer time for intubation. The C-MAC laryngoscope provides similar laryngeal views as the Macintosh blade, and is an excellent teaching aid.

Cited by 5 publications

References 14 publications

Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study

Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study

Successful use of C-MAC^® video laryngoscope following failure of multiple intubation attempts during laryngomicroscopic surgery in an infant - A case report -

Porównanie trzech typów laryngoskopów podczas intubacji dziecka w warunkach symulowanego uszkodzenia kręgosłupa szyjnego

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WITHDRAWN: A randomized trial to compare the Truview picture capture device, C-MAC laryngoscope, and Macintosh laryngoscope in pediatric airway management

Abstract: The Truview PCD offers the best laryngeal view, although it takes a longer time for intubation. The C-MAC laryngoscope provides similar laryngeal views as the Macintosh blade, and is an excellent teaching aid.

Cited by 5 publications

References 14 publications

Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study

Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study

Successful use of C-MAC® video laryngoscope following failure of multiple intubation attempts during laryngomicroscopic surgery in an infant - A case report -

Porównanie trzech typów laryngoskopów podczas intubacji dziecka w warunkach symulowanego uszkodzenia kręgosłupa szyjnego

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Successful use of C-MAC^® video laryngoscope following failure of multiple intubation attempts during laryngomicroscopic surgery in an infant - A case report -