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- Title
COMPARISON OF VIDEO LARYNGOSCOPY DEVICES: C-MAC® AND GLIDESCOPE IN ADULTS.
- Authors
Ahmed, A.
- Abstract
Background: Direct laryngoscopy (DL) is the traditional technique for endotracheal intubation in clinical settings. With advances in technology, Video laryngoscopy (VL) was introduced for difficult intubations. The C-MAC® (Karl Storz, Tutlingen, Germany) resembles the Macintosh blade from DL but with the addition of a micro camera at the tip of the blade. This makes it a suitable choice for both easy and difficult intubations. The GlideScope (Verathon Medical, Bothell, WA) consists of the GVL 0-4 blade, which has a hyperangulated, 60-degree curvature for improved glottic exposure in difficult airways with oral, pharyngeal and laryngeal axis alignment issues (Verathon Inc. 2018). These features offer an advantage for difficult intubations such as cases of tongue swelling, pharyngeal obstruction, or cervical spine issues. Objective: This poster is a critical comparison of the C-MAC® and GlideScope, in terms of application, blade type, technology, advantages and precautions as found in clinical research and current practice. Clinical implications: For successful intubation with VL, the clinician should follow each manufacturer's guidelines, with respect to ETT's preshaping and the proper maneuvers when resistance to advancement of the ETT occurs. In clinical practise and based on device availability, experienced clinicians are likely to be comfortable with GlideScope as it is relatively older than C-MAC®. C-MAC® would be easy to use for clinicians with any skill level due to the DL MAC blade. Conclusion: Despite the key design differences between both devices, current research reports fewer articles stating one device is better than the other. GlideScope would be recommended for a perceived difficult intubation. C-MAC® is a good option for teaching new healthcare professionals and develop a strong foundation for DL. The emergence of COVID-19 has increased the frequency of VL for easy intubations to reduce duration of intubation. It keeps healthcare professionals at a farther distance from the patient's face and reduces incidence of airway injury.
- Subjects
CONFERENCES &; conventions; LARYNGOSCOPY; ENDOSCOPY; ADULTS
- Publication
Canadian Journal of Respiratory Therapy, 2021, Vol 57, p82
- ISSN
1205-9838
- Publication type
Article