A comparison of angled (D-Blade) and Macintosh (C-MAC) videolaryngoscopes for simulated pediatric difficult airway: a randomized single-blind study

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dc.authoridKamil Toker / 0000-0002-3168-0489en_US
dc.authorscopusidKamil Toker / 6701531341en_US
dc.authorwosidKamil Toker / AAX-3866-2020en_US
dc.contributor.authorKuş, Alparslan
dc.contributor.authorAksu, Can
dc.contributor.authorYörükoğlu, Hadi Ufuk
dc.contributor.authorAlparslan, Volkan
dc.contributor.authorToker, Kamil
dc.date.accessioned2022-03-11T06:56:09Z
dc.date.available2022-03-11T06:56:09Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground/aim: Being prepared for difficult airway (DA) is nevertheless of great importance. Failed or delayed tracheal intubation (TI) can increase morbidity and mortality, and the pediatric population is more prone to hypoxia. With the development of different types of videolaryngoscope (VL), these have become the device of choice in patients with DA. Our primary aim was to compare intubation times with D-blade and Macintosh blade of Storz C-MAC® in a simulated pediatric DA scenario with this randomized controlled trial. Materials and methods: Children aged 1-5 years scheduled for elective surgery were included in the study. Patients were randomized into two groups: the D-Blade (n = 20) and MAC (n = 21) groups. All children underwent inhalational induction, and a neuromuscular relaxant was routinely administered (rocuronium 0.6 mg.kg-1). After the appropriate size of semirigid foam neck collar had been positioned around the patient’s neck, the D-Blade group patients were intubated using a size 2 D-Blade, and the MAC group patients used a size 2 VL Macintosh blade. Intubation, time was measured. Patients’ modified Cormack-Lehane system scores (MCLS), pre and postintubation blood pressure values and heart rates, and complications during intubation were recorded. Results: Demographic data were similar between the groups. There were also no significant differences in pre and postintubation heart rates, blood pressure, or SpO2 values (p > 0.05 for all). Mean intubation times for the MAC and D-Blade groups were 12.14 ± 2.79 s and 18.31 ± 10.86 s, respectively (p = 0.022). MCLS scores were lower in the D-Blade group (p = 0.030). Intubation success rates were 100% in the MAC group and 90% in the D-Blade group, although the difference was statistically insignificant (p = 0.165). Conclusion: A better laryngoscopic view was obtained with D-Blade. However, the Storz® C-Mac videolaryngoscope Macintosh blade was superior to the D-Blade in achieving a shorter time for TI. © 2022, Turkiye Klinikleri. All rights reserved.en_US
dc.identifier.citationKuş, A., Aksu, C., Yörükoğlu, H. U., Alparslan, V., & Toker, K. (2022). A comparison of angled (D-blade) and macintosh (C-MAC) videolaryngoscopes for simulated pediatric difficult airway: A randomized single-blind study. Turkish Journal of Medical Sciences, 52(1), 216-221. doi:10.3906/sag-2102-221en_US
dc.identifier.doi10.3906/sag-2102-221en_US
dc.identifier.endpage221en_US
dc.identifier.issn1300-0144en_US
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85125312756en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage216en_US
dc.identifier.trdizinid517942en_US
dc.identifier.urihttps://doi:10.3906/sag-2102-221
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2545
dc.identifier.volume52en_US
dc.identifier.wosWOS:000761923700024en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorToker, Kamil
dc.language.isoenen_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDifficult Airwayen_US
dc.subjectPediatric Airwayen_US
dc.subjectVideolaryngoscopeen_US
dc.titleA comparison of angled (D-Blade) and Macintosh (C-MAC) videolaryngoscopes for simulated pediatric difficult airway: a randomized single-blind studyen_US
dc.typeArticleen_US

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