Loading...
German researchers evaluated the C-MAC video laryngoscope (JW Emerg Med Jan 29 2010) as a rescue device for patients with failed Macintosh laryngoscopy. Of 1151 consecutive elective surgery patients during a 7-month period, 52 with Cormack-Lehane grade III or IV glottic views on as many as three attempts with a Macintosh laryngoscope were switched to a C-MAC video laryngoscope for subsequent intubation attempts. Patients with a history of difficult bag-mask ventilation, expected difficult endotracheal intubation, pregnancy, or emergency surgery were excluded. Operators had performed at least 20 prior C-MAC intubations.
Use of the C-MAC improved glottic views by 1, 2, and 3 Cormack-Lehane grades in 62%, 31%, and 2% of patients, respectively, …