COMPARISON OF EASE OF INTUBATION WITH D-BLADE OF C-MAC VIDEO LARYNGOSCOPE: DIRECT VS BOUGIE ASSISTED TECHNIQUE
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Keywords
C-MAC D-blade, intubation, bougie, video laryngoscope, airway management.
Abstract
Background: The C-MAC D-blade video laryngoscope offers enhanced glottic visualization, particularly in difficult airway scenarios. Use of a bougie as an adjunct may improve intubation success by assisting tube placement through the acute blade curvature.
Aim: To compare ease of intubation with the D-blade of the C-MAC video laryngoscope using direct versus bougie-assisted techniques.
Methods: A prospective randomized study in patients requiring intubation allocated to direct intubation (Group D) or bougie-assisted intubation (Group B). Primary outcomes were intubation time, number of attempts, and hemodynamic response.
Results: Both groups were comparable demographically. Bougie-assisted intubation significantly reduced mean intubation time and the number of attempts required (p < 0.05). Hemodynamic changes were also significantly less in Group B, indicating reduced stress response.
Conclusion: Bougie assistance with the C-MAC D-blade improves ease and efficiency of intubation while minimizing physiological stress, recommending its clinical use in difficult airway management.
References
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Dr Dheeraj Patel
Professor, Dept of Anaesthesiology, SSIMS and RC, Davangere
Dr Smitha Y
Associate Professor, Dept of Anaesthesiology, SSIMS and RC, Davangere
Dr Karthik A
Postgraduate, Dept of Anaesthesiology, SSIMS and RC, Davangere