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Evaluation of the CEL‐100 videolaryngoscope TM for double‐lumen tracheal tube insertion after failure using the Macintosh laryngoscope
Author(s) -
Lin W. Q.,
Quan S. B.,
Liu W. J.,
Zhang T. H.,
Li H. T.,
Zhong Z. J.,
Cao L. H.
Publication year - 2012
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2012.07261.x
Subject(s) - medicine , tracheal intubation , tracheal tube , lumen (anatomy) , intubation , surgery , context (archaeology) , anesthesia , paleontology , biology
Summary We prospectively evaluated the CEL‐100 videolaryngoscope TM for insertion of double‐lumen tracheal tubes in 48 consecutive patients who had been found to have an unanticipated Cormack and Lehane grade 3 (n = 43) and grade 4 (n = 5) laryngeal view and in whom two attempts at tracheal intubation using the Macintosh laryngoscope had failed. When the CEL‐100 was subsequently employed, the glottic view improved in 45 (94%) patients. The view improved by one grade in 15 (31%) patients and by two grades in 30 (63%) patients, compared with the Macintosh blade (p < 0.001). Double‐lumen tracheal tube insertion was successful when using the CEL‐100 in 43 out of 48 patients (90%; 95% CI 81–98%). This occurred on the first attempt in 27 (56%) patients, 14 (29%) on the second and two (4%) on the third. We conclude that the CEL‐100 videolaryngoscope is an effective device in this context, and we therefore propose that this device can be used in circumstances when double‐lumen tube insertion proves difficult.