Comparison of the C-MAC D-blade video laryngoscope and the McCoy laryngoscope for double-lumen endotracheal tube intubation: A prospective randomized controlled study. Issue 45 (11th November 2022)

• Record Type: Journal Article
• Authors: Kim, Kyung Mi; Seo, Kwon Hui; Kim, You Jung; John, Hyunji; Moon, Hyun Soo; Kim, Namhyun; Yeon, Nayoung
• Is Part Of: Medicine. Volume 101:Issue 45(2022)
• Page Start: e31775
• Publication Date: 2022-11-11
• Subjects: C-MAC video laryngoscope -- double lumen tube -- hemodynamic changes -- intratracheal -- intubation -- McCoy laryngoscope; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000031775
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract : Background: Inserting a double-lumen endotracheal tube (DLT) poses more challenge than inserting a single-lumen tube. The C-MAC D-blade videolaryngoscope is a useful alternative to the direct laryngoscope. However, no study has compared its performance with that of the McCoy laryngoscope, which has a hyperangulated blade tip similar to that of the C-MAC D-blade. We aimed to compare the performance of the C-MAC D-blade videolaryngoscope with that of the McCoy laryngoscope in DLT intubation. Methods: In this prospective randomized controlled study, 90 patients requiring DLT intubation were randomly allocated to either the C-MAC D-blade videolaryngoscope group (group C, n = 47) or McCoy laryngoscope group (group M, n = 43). During intubation, the percentage of glottic opening, modified Cormack–Lehane grade, time taken for intubation, malposition of the bronchial lumen, and hemodynamic parameters were recorded. After intubation, we assessed the intubation difficulty scale score and, a postoperative sore throat in the recovery room. Results: The time taken for intubation was 35.85 ± 10.77 seconds and 33.18 ± 11.97 seconds in groups C and M, respectively ( P = .269). The modified Cormack–Lehane grade was significantly lower in group C than in group M ( P = .000). Percentage of glottic opening was significantly higher in group C (79.36 ± 13.42%) than in group M (53.49 ± 29.83%) ( P = .000). The intubation difficulty scale score was significantly lower in group C than in group M ( P = .030). There were no significant differences between the 2 groups in terms of malposition status, hemodynamic parameters, or visual analog scale score for a postoperative sore throat. Conclusion: Although the time taken for intubation was comparable between the 2 intubation devices, the C-MAC D-blade videolaryngoscope facilitated glottis visualization and reduced the intubation difficulty scale better than the McCoy laryngoscope in patients undergoing DLT intubation.