title: Effectiveness of the C-MAC video laryngoscope in the management of unexpected failed intubations.
abstract: OBJECTIVE
  The purpose of this study was to review the experiences of an anesthesiology department regarding the use of a C-MAC videolaryngoscope in unexpected failed intubation attempts.
  
  
  METHODS
  Data were analyzed from 42 patients whose intubation attempts using Macintosh direct laryngoscopes had failed, and on whom a C-MAC videolaryngoscope was utilized as the primary rescue device. The success rate of C-MAC in intubation was assessed, and laryngeal views from both devices were compared.
  
  
  RESULTS
  The Cormack and Lehane score was III in 41 patients, and IV in one patient, with the Macintosh laryngoscope, while Cormack and Lehane score was I in 27 patients, II in 14 and III in one with CMAC. Tracheal intubation with CMAC was successful on the first attempt in 36 patients (86%), and on the second attempt in 6 patients (14%). No complications were observed other than minor damage (blood on blade) in 8 patients (19%).
  
  
  CONCLUSIONS
  These data provide evidence for the clinical effectiveness of C-MAC videolaryngoscope in managing the unexpected failed intubations in routine anesthesia care. The C-MAC videolaryngoscope is efficient and safe as a primary rescue device in unexpected failed intubations.
authors.affiliation: Department of Anaesthesiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey. Electronic address: dralperkilicaslan@gmail.com.
authors.forename: Alper
authors.initials: A
authors.lastname: Kilicaslan
authors.affiliation: Department of Anaesthesiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Topal
authors.affiliation: Department of Anaesthesiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.
authors.forename: Aybars
authors.initials: A
authors.lastname: Tavlan
authors.affiliation: Department of Anaesthesiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.
authors.forename: Atilla
authors.initials: A
authors.lastname: Erol
authors.affiliation: Department of Anaesthesiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.
authors.forename: Seref
authors.initials: S
authors.lastname: Otelcioglu
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D020704:Laryngoscopes; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014741:Video Recording
keywords: Airway management; Difficult intubation; Laryngoscopy