The Utility of the C-MAC as a Direct Laryngoscope for Intubation in the Emergency Department

John C. Sakles, Jarrod M. Mosier, Asad E Patanwala, Brittany Arcaris, John M. Dicken

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background Although the C-MAC (Karl Storz, Tuttlingen, Germany) is a video laryngoscope (VL), it can also be used as a direct laryngoscope (DL). Objective The goal of this study was to evaluate the utility of the C-MAC as a DL for intubations in the emergency department (ED). Methods This was an analysis of prospectively collected continuous quality-improvement data during the 6-year period from February 1, 2009 to January 31, 2015, when both the C-MAC and Macintosh DL (Mac DL) were clinically available in our ED. This analysis included adult patients who underwent rapid sequence intubation by an emergency medicine resident in the ED with a C-MAC initially used as a DL or a Mac DL. The primary outcome measure was the first pass success (FPS). Results When the C-MAC was used as a DL, the initial DL attempt was successful in 199 of 346 (57.6%) cases. When the attempt could not be completed using the C-MAC as a DL, the operator utilized the video monitor and successfully completed the intubation using VL in 104 of 134 (77.6%) cases, thus achieving an overall FPS of 303 of 346 (87.6%). When the Mac DL was used, the FPS was 505 of 671 (75.3%). Conclusions The C-MAC is a useful device for DL because in the event of a failed DL attempt, operators have the option of switching to the video monitor to successfully complete the intubation using VL without having to make a second attempt.

Original languageEnglish (US)
Pages (from-to)349-357
Number of pages9
JournalJournal of Emergency Medicine
Volume51
Issue number4
DOIs
StatePublished - Oct 1 2016

Fingerprint

Laryngoscopes
Intubation
Hospital Emergency Service
Emergency Medicine
Quality Improvement
Germany

Keywords

  • C-MAC
  • direct laryngoscopy
  • EM resident intubations

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

The Utility of the C-MAC as a Direct Laryngoscope for Intubation in the Emergency Department. / Sakles, John C.; Mosier, Jarrod M.; Patanwala, Asad E; Arcaris, Brittany; Dicken, John M.

In: Journal of Emergency Medicine, Vol. 51, No. 4, 01.10.2016, p. 349-357.

Research output: Contribution to journalArticle

Sakles, John C. ; Mosier, Jarrod M. ; Patanwala, Asad E ; Arcaris, Brittany ; Dicken, John M. / The Utility of the C-MAC as a Direct Laryngoscope for Intubation in the Emergency Department. In: Journal of Emergency Medicine. 2016 ; Vol. 51, No. 4. pp. 349-357.
@article{2c76d331be464fb59db8ebd1a60c3ff6,
title = "The Utility of the C-MAC as a Direct Laryngoscope for Intubation in the Emergency Department",
abstract = "Background Although the C-MAC (Karl Storz, Tuttlingen, Germany) is a video laryngoscope (VL), it can also be used as a direct laryngoscope (DL). Objective The goal of this study was to evaluate the utility of the C-MAC as a DL for intubations in the emergency department (ED). Methods This was an analysis of prospectively collected continuous quality-improvement data during the 6-year period from February 1, 2009 to January 31, 2015, when both the C-MAC and Macintosh DL (Mac DL) were clinically available in our ED. This analysis included adult patients who underwent rapid sequence intubation by an emergency medicine resident in the ED with a C-MAC initially used as a DL or a Mac DL. The primary outcome measure was the first pass success (FPS). Results When the C-MAC was used as a DL, the initial DL attempt was successful in 199 of 346 (57.6{\%}) cases. When the attempt could not be completed using the C-MAC as a DL, the operator utilized the video monitor and successfully completed the intubation using VL in 104 of 134 (77.6{\%}) cases, thus achieving an overall FPS of 303 of 346 (87.6{\%}). When the Mac DL was used, the FPS was 505 of 671 (75.3{\%}). Conclusions The C-MAC is a useful device for DL because in the event of a failed DL attempt, operators have the option of switching to the video monitor to successfully complete the intubation using VL without having to make a second attempt.",
keywords = "C-MAC, direct laryngoscopy, EM resident intubations",
author = "Sakles, {John C.} and Mosier, {Jarrod M.} and Patanwala, {Asad E} and Brittany Arcaris and Dicken, {John M.}",
year = "2016",
month = "10",
day = "1",
doi = "10.1016/j.jemermed.2016.05.039",
language = "English (US)",
volume = "51",
pages = "349--357",
journal = "Journal of Emergency Medicine",
issn = "0736-4679",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - The Utility of the C-MAC as a Direct Laryngoscope for Intubation in the Emergency Department

AU - Sakles, John C.

AU - Mosier, Jarrod M.

AU - Patanwala, Asad E

AU - Arcaris, Brittany

AU - Dicken, John M.

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Background Although the C-MAC (Karl Storz, Tuttlingen, Germany) is a video laryngoscope (VL), it can also be used as a direct laryngoscope (DL). Objective The goal of this study was to evaluate the utility of the C-MAC as a DL for intubations in the emergency department (ED). Methods This was an analysis of prospectively collected continuous quality-improvement data during the 6-year period from February 1, 2009 to January 31, 2015, when both the C-MAC and Macintosh DL (Mac DL) were clinically available in our ED. This analysis included adult patients who underwent rapid sequence intubation by an emergency medicine resident in the ED with a C-MAC initially used as a DL or a Mac DL. The primary outcome measure was the first pass success (FPS). Results When the C-MAC was used as a DL, the initial DL attempt was successful in 199 of 346 (57.6%) cases. When the attempt could not be completed using the C-MAC as a DL, the operator utilized the video monitor and successfully completed the intubation using VL in 104 of 134 (77.6%) cases, thus achieving an overall FPS of 303 of 346 (87.6%). When the Mac DL was used, the FPS was 505 of 671 (75.3%). Conclusions The C-MAC is a useful device for DL because in the event of a failed DL attempt, operators have the option of switching to the video monitor to successfully complete the intubation using VL without having to make a second attempt.

AB - Background Although the C-MAC (Karl Storz, Tuttlingen, Germany) is a video laryngoscope (VL), it can also be used as a direct laryngoscope (DL). Objective The goal of this study was to evaluate the utility of the C-MAC as a DL for intubations in the emergency department (ED). Methods This was an analysis of prospectively collected continuous quality-improvement data during the 6-year period from February 1, 2009 to January 31, 2015, when both the C-MAC and Macintosh DL (Mac DL) were clinically available in our ED. This analysis included adult patients who underwent rapid sequence intubation by an emergency medicine resident in the ED with a C-MAC initially used as a DL or a Mac DL. The primary outcome measure was the first pass success (FPS). Results When the C-MAC was used as a DL, the initial DL attempt was successful in 199 of 346 (57.6%) cases. When the attempt could not be completed using the C-MAC as a DL, the operator utilized the video monitor and successfully completed the intubation using VL in 104 of 134 (77.6%) cases, thus achieving an overall FPS of 303 of 346 (87.6%). When the Mac DL was used, the FPS was 505 of 671 (75.3%). Conclusions The C-MAC is a useful device for DL because in the event of a failed DL attempt, operators have the option of switching to the video monitor to successfully complete the intubation using VL without having to make a second attempt.

KW - C-MAC

KW - direct laryngoscopy

KW - EM resident intubations

UR - http://www.scopus.com/inward/record.url?scp=84979680178&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84979680178&partnerID=8YFLogxK

U2 - 10.1016/j.jemermed.2016.05.039

DO - 10.1016/j.jemermed.2016.05.039

M3 - Article

C2 - 27471132

AN - SCOPUS:84979680178

VL - 51

SP - 349

EP - 357

JO - Journal of Emergency Medicine

JF - Journal of Emergency Medicine

SN - 0736-4679

IS - 4

ER -