Pediatric anesthesia & critical care
A prospective randomized comparative trial of pediatric C‐MAC D‐blade video laryngoscope with McCoy direct laryngoscope for intubation in children posted for elective surgical procedures under general anesthesia
Authors' conclusion
The C-MAC video laryngoscope size 2 D-blade provided faster and better glottic visualization but similar intubation difficulty compared to McCoy size 2 laryngoscope in children.
Study context
- Population
- ASA physical status 1 and 2 children aged 4–12 years scheduled for elective surgery under GA
- Participants
- 70 participants
- Comparison
- C-MAC vs McCoy
- Primary endpoint
- Intubation Difficulty Scale (IDS) for ease of intubation
Methodological detailsprospective
- Prospective
Primary result
As reported in the abstract
IDS score
C-MAC
0
median · IQR 0–0
McCoy
0
median · IQR 0–2
P = 0.055
Secondary outcomes
Time to best glottic view
P = 0.006
Total duration of intubation · comparable
P = 0.374
| Outcome | C-MAC | McCoy | P value |
|---|---|---|---|
| Cormack-Lehane grade IGlottic views superior with C-MAC | 32/35 events | 23/35 events | P = 0.002 |
First-attempt intubation success
- All patients successfully intubated on the first attempt
Safety
Airway complications
- None of the patients had any complications
- 0
Original publication
A prospective randomized comparative trial of pediatric C‐MAC D‐blade video laryngoscope with McCoy direct laryngoscope for intubation in children posted for elective surgical procedures under general anesthesia. Paediatr Anaesth. Published 29 April 2024. doi:10.
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