Determination of the optimal stylet strategy for the C-MAC videolaryngoscope.
Affiliation
Department of Anaesthesia, Galway University Hospitals, National University of Ireland, Ireland.Issue Date
2010-04MeSH
Clinical CompetenceCross-Over Studies
Edema
Equipment Design
Humans
Immobilization
Intubation, Intratracheal
Laryngoscopes
Manikins
Orthotic Devices
Tongue Diseases
Video Recording
Metadata
Show full item recordCitation
Determination of the optimal stylet strategy for the C-MAC videolaryngoscope. 2010, 65 (4):369-78 AnaesthesiaJournal
AnaesthesiaDOI
10.1111/j.1365-2044.2010.06245.xPubMed ID
20199535Abstract
The C-MAC videolaryngoscope is a novel intubation device that incorporates a camera system at the end of its blade, thereby facilitating obtaining a view of the glottis without alignment of the oral, pharyngeal and tracheal axes. It retains the traditional Macintosh blade shape and can be used as a direct or indirect laryngoscope. We wished to determine the optimal stylet strategy for use with the C-MAC. Ten anaesthetists were allowed up to three attempts to intubate the trachea in one easy and three progressively more difficult laryngoscopy scenarios in a SimMan manikin with four tracheal tube stylet strategies: no stylet; stylet; directional stylet (Parker Flex-It); and hockey-stick stylet. The use of a stylet conferred no advantage in the easy laryngoscopy scenario. In the difficult scenarios, the directional and hockey-stick stylets performed best. In the most difficult scenario, the median (IQR [range]) duration of the successful intubation attempt was lowest with the hockey-stick stylet; 18 s (15-22 [12-43]) s, highest with the unstyletted tracheal tube; 60 s (60-60 [60, 60]) s and styletted tracheal tube 60 s (29-60 [18-60]) s, and intermediate with the directional stylet 21 s (15-60 [8-60]) s. The use of a stylet alone does not confer benefit in the setting of easy laryngoscopy. However, in more difficult laryngoscopy scenarios, the C-MAC videolaryngoscope performs best when used with a stylet that angulates the distal tracheal tube. The hockey-stick stylet configuration performed best in the scenarios tested.Item Type
ArticleLanguage
enISSN
1365-2044ae974a485f413a2113503eed53cd6c53
10.1111/j.1365-2044.2010.06245.x
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