Alper Kilicaslan1, Ahmet Topal2, Aybars Tavlan2, Atilla Erol2, Seref Otelcioglu2. 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.
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.
Authors: Hyun Young Choi; Young Min Oh; Gu Hyun Kang; Hyunggoo Kang; Yong Soo Jang; Wonhee Kim; Euichung Kim; Young Soon Cho; Hyukjoong Choi; Hyunjong Kim; Gyoung Yong Kim Journal: Biomed Res Int Date: 2015-06-16 Impact factor: 3.411
Authors: Young Yong Kim; Gu Hyun Kang; Won Hee Kim; Hyun Young Choi; Yong Soo Jang; Young Jae Lee; Jae Guk Kim; Hyeongtae Kim; Gyoung Yong Kim Journal: Clin Exp Emerg Med Date: 2016-06-30