Direkte Laryngoskopie oder C-MAC-Videolaryngoskopie?

Meininger, Dirk; Strouhal, U.; Weber, Christian Friedrich; Fogl, D.; Holzer, Lars; Zacharowski, Kai; Byhahn, Christian

doi:10.1007/s00101-010-1753-3

Cited by 11 publications

(3 citation statements)

References 17 publications

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“…11 A significantly enhanced laryngeal view is obtained especially in difficult airway cases when compared to direct laryngoscopy with a Macintosh laryngoscope blade. 12 This provides an additional photo-documentation for record and review of case details which is excellent in academic teaching and training sessions. Different blade sizes either the re-usable or the disposable ones are available for neonatal, pediatric and adult groups.…”

Section: Discussionmentioning

confidence: 99%

C-MAC® video-laryngoscope assisted removal of pediatric upper airway foreign body via apneic technique: Two case reports

Punnoose

Victor

Hazarika

et al. 2019

SAGE Open Medical Case Reports

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C-MAC® video-laryngoscope is often used by anesthetists in difficult intubation scenarios primarily in adults. Using this C-MAC® device in two of our pediatric cases, we successfully removed the laryngeal foreign body, while the anesthetist provided the apneic technique. A systematic review of PubMed and Google Scholar for similar cases was conducted. We found only one such case report of pediatric airway foreign body removal via video-laryngoscope in the English literature. The use of this high-quality, magnified video-laryngoscope in children in an emergency scenario is often not adequately applied. This procedure provides continuous real-time visualization to both the operating surgeon as well as the anesthetist in respect to the airway and thereby reduces the chance of any untoward complications. Here, we present two interesting case reports of C-MAC® video-laryngoscope assisted removal of laryngeal foreign body via apneic technique with spontaneous ventilation performed on two different children in our facility. Both these children had clinical symptoms of upper airway obstruction with fluctuating stridor simulating croup or asthma.

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Section: Discussionmentioning

confidence: 99%

C-MAC® video-laryngoscope assisted removal of pediatric upper airway foreign body via apneic technique: Two case reports

Punnoose

Victor

Hazarika

et al. 2019

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

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“…The use of the C-MAC as a standard practice in patients for ENT surgery was suggested by Meininger et al 7 They performed intubation which compared direct laryngoscopy and the C-MAC view in 108 ENT patients. A better view was achieved with the C-MAC device.…”

Section: Discussionmentioning

confidence: 99%

The use of the C-MAC videolaryngoscope for awake intubation in patients with a predicted extremely difficult airway: case series

Gaszyński¹

2018

TCRM

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The C-MAC videolaryngoscope was evaluated for intubation in patients with predicted extremely difficult airway. The presented cases are patients with neoplasm tumors in larynx. In all cases, awake intubation using C-MAC videolaryngoscope was performed in patients breathing spontaneously, under local anaesthesia, with oxygen administered via nasal catheter. All intubations were successful and uneventful. The pre-surgery examination (CT scans and fiberscope laryngeal examination) was compared with view of larynx obtained during laryngoscopy. Based on my experience, I assume that C-MAC videolaryngoscope is a very useful tool for anaesthesiologists and can be applied not only for unexpected difficult intubation but also for predicted difficult airway. Moreover, it could be used as an additional diagnosis tool before larynx surgery. The view obtained with the C-MAC videlaryngoscope corresponds with larynx examination performed before surgery, and could potentially reveal more details.

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“…Using videolaryngoscopy, especially in case of emergencies and with inexperienced staff, intubation can be performed successfully at the first attempt [6,7] . There are a number of studies comparing the advantages and disadvantages of videolaryngoscopes in the literature [6,8,9] . However, there are a limited number of studies comparing the use of VL with the use of direct laryngoscopy (DL) in patients with hypertension [10] .…”

Section: Introductionmentioning

confidence: 99%

The Effect of Intubation with Video and Conventional Laryngoscopy on Hemodynamic Response

Cengiz¹,

Yılmaz²

2019

GKDA Derg

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Introduction: Endotracheal intubation is the gold standard for providing adequate ventilation. During laryngoscopy and endotracheal intubation, airway stimulation results in reflex sympathetic system activation and unfavorable hemodynamic response. We aimed to evaluate the effect of videolaryngoscope (C-MAC VL) and conventional Macintosh direct laryngoscopy (DL) applications in endotracheal intubation under general anesthesia on hemodynamic response and time duration in patients with and without hypertensive. Method: Normotensive (n=100) and hypertensive (n=100), aged between 18 and 75 years old (ASA I-II) who were scheduled to undergo elective surgery under general anesthesia, were included in the prospective study. Hypertensive patients were further divided into two subgroups; those intubated with videolaryngoscopy (group HV, n=50) and those with conventional direct laryngoscopy (group HD, n=50). Normotensive patients were also divided into two subgroups as videolaryngoscopy subgroup (group NV, n=50) and conventional direct laryngoscopy subgroup (group ND, n=50). Hemodynamic parameters, airway evaluation measurements, procedure duration and patients demographic characteristics were recorded. Results: There was no significant change in the hemodynamic parameters other than heart rate in the four groups compared to baseline measurements. The median intubation time of all videolaryngoscopy group (HV and NV) (10 sec) was shorter than that of all direct laryngoscopy group (HD and ND) (11.5 sec). Conclusion: Hemodynamic response behaves alike in all goups. However, intubation time takes least amount of time with the C-MAC VL than the conventional Macintosh DL. We think that using VL during intubation is practical and useful in the cases with sudden loss of consciousness, in which airway tone cannot be maintained.

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Direkte Laryngoskopie oder C-MAC-Videolaryngoskopie?

Cited by 11 publications

References 17 publications

C-MAC® video-laryngoscope assisted removal of pediatric upper airway foreign body via apneic technique: Two case reports

C-MAC® video-laryngoscope assisted removal of pediatric upper airway foreign body via apneic technique: Two case reports

The use of the C-MAC videolaryngoscope for awake intubation in patients with a predicted extremely difficult airway: case series

The Effect of Intubation with Video and Conventional Laryngoscopy on Hemodynamic Response

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