a randomised, controlled crossover comparison of the c-mac videolaryngoscope with direct laryngoscopy in 150 patients during routine induction of anaesthesia随机的,控制的交叉比较c-mac videolaryngoscope 150年与直接喉镜检查病人的麻醉诱导过程中.pdfVIP

Cavus et al. BMC Anesthesiology 2011, 11:6 /1471-2253/11/6 RESEARCH ARTICLE Open Access A randomised, controlled crossover comparison of the C-MAC videolaryngoscope with direct laryngoscopy in 150 patients during routine induction of anaesthesia 1* 2 3 3 4 5 Erol Cavus , Carsten Thee , Thora Moeller , Joerg Kieckhaefer , Volker Doerges , Klaus Wagner Abstract Background: The C-MAC® (Karl Storz, Tuttlingen, Germany) has recently been introduced as a new device for videolaryngoscopy guided intubation. The purpose of the present study was to compare for the first time the C- MAC with conventional direct laryngoscopy in 150 patients during routine induction of anaesthesia. Methods: After approval of the institutional review board and written informed consent, 150 patients (ASA I-III) with general anaesthesia were enrolled. Computer-based open crossover randomisation was used to determine the sequence of the three laryngoscopies: Conventional direct laryngoscopy (HEINE Macintosh classic, Herrsching, Germany; blade sizes 3 or 4; DL group), C-MAC size 3 (C-MAC3 group) and C-MAC size 4 (C-MAC4 group) videolaryngoscopy, respectively. After 50 patients, laryngoscopy technique in the C-MAC4 group was changed to the straight blade technique described by Miller (C-MAC4/SBT). Results: Including all 150 patients (70 male, aged (median [range]) 53 [20-82] years, 80 [48-179] kg), there was no difference of glottic view between DL, C-MAC3, C-MAC4, and C-MAC4/SBT groups; however, worst glottic view (C/L 4) was only seen with DL, but not with C-MAC videolaryngoscopy. In the subgroup of patients that had suboptimal glottic view with DL (C/ L≥2a; n = 24), glottic view was improved in the C-MAC4/SBT group; C/L class impro