Use of the C-MAC Macintosh 0 Blade for Intubation of Infants in the

Pediatric emergency care · Jul 2021

Use of the C-MAC Macintosh 0 Blade for Intubation of Infants in the Emergency Department.

First-pass success rates during intubation of infants in the emergency department have been shown to be low. Video laryngoscopy is being increasingly used during advanced airway management in the emergency department, but available data have not supported improved outcomes with use in pediatrics. ⋯ We describe the use of the new C-MAC Macintosh 0 blade for intubation of 2 infants with apnea secondary to respiratory syncytial virus bronchiolitis. The included video recording demonstrates the favorable glottic view and improved maneuverability offered by the narrower blade but also highlights the limitation in use beyond young infants given the short blade length.

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- Kelsey A Miller, Matthew A Eisenberg, Edir S Abid, and Joshua Nagler.
- From the Division of Emergency Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA.
- Pediatr Emerg Care. 2021 Jul 1; 37 (7): e404e405e404-e405.
AbstractFirst-pass success rates during intubation of infants in the emergency department have been shown to be low. Video laryngoscopy is being increasingly used during advanced airway management in the emergency department, but available data have not supported improved outcomes with use in pediatrics. The newly available Macintosh size 0 (curved) blade for the C-MAC video laryngoscope offers a narrower blade for use in infants. We describe the use of the new C-MAC Macintosh 0 blade for intubation of 2 infants with apnea secondary to respiratory syncytial virus bronchiolitis. The included video recording demonstrates the favorable glottic view and improved maneuverability offered by the narrower blade but also highlights the limitation in use beyond young infants given the short blade length.Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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Use of the C-MAC Macintosh 0 Blade for Intubation of Infants in the Emergency Department.

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