title: Evaluation of Karl Storz CMAC Tip™ device versus traditional airway suction in a cadaver model.
abstract: BACKGROUND
  We compared the efficacy of Karl Storz CMAC Tip™ with inline suction to CMAC with traditional suction device in cadaveric models simulating difficult airways, using media mimicking pulmonary edema and vomit.
  
  
  METHODS
  This was a prospective, cohort study in which we invited emergency medicine faculty and residents to participate. Each participant intubated 2 cadavers (one with simulated pulmonary edema and one with simulated vomit), using CMAC with inline suction and CMAC with traditional suction. Thirty emergency medicine providers performed 4 total intubations each in a crossover trial comparing the CMAC with inline suction and CMAC with traditional suction. Two intubations were performed with simulated vomit and two with simulated pulmonary edema. The primary outcome was time to successful intubation; and the secondary outcome was proportion of successful intubation.
  
  
  RESULTS
  The median time to successful intubation using the CMAC with inline suction versus traditional suction in the pulmonary edema group was 29s and 30s respectively (p=0.54). In the vomit simulation, the median time to successful intubation was 40s using the CMAC with inline suction and 41s using the CMAC with traditional suction (p=0.70). There were no significant differences in time to successful intubation between the 2 devices. Similarly, the proportions of successful intubation were also not statistically significant between the 2 devices. The proportions of successful intubations using the inline suction were 96.7% and 73.3%, for the pulmonary edema and vomit groups, respectively. Additionally using the handheld suction device, the proportions for the pulmonary edema and vomit group were 100% and 66.7%, respectively.
  
  
  CONCLUSIONS
  CMAC with inline suction was no different than CMAC with traditional suction and was associated with no statistically significant differences in median time to intubation or proportion of successful intubations.
authors.affiliation: Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas.
authors.forename: Demis N
authors.initials: DN
authors.lastname: Lipe
authors.affiliation: Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas.
authors.forename: Randi
authors.initials: R
authors.lastname: Lindstrom
authors.affiliation: Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas.
authors.forename: Dustin
authors.initials: D
authors.lastname: Tauferner
authors.affiliation: Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas.
authors.forename: Christopher
authors.initials: C
authors.lastname: Mitchell
authors.affiliation: Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas.
authors.forename: Peter
authors.initials: P
authors.lastname: Moffett
mesh_terms: D002102:Cadaver; D018592:Cross-Over Studies; D006801:Humans; D066298:In Vitro Techniques; D007440:Intubation / Q000295:instrumentation*; D011446:Prospective Studies; D011654:Pulmonary Edema / Q000628:therapy; D013396:Suction / Q000295:instrumentation*; D014839:Vomiting