Video Assisted Intubation using a C-Mac

[Francesco Cardona]

Quote

Dear all
I work in a level 3-4 in Copenhagen Denmark. We have over the past few years started to use video assisted intubation using a C-Mac. We have a Miller 0 blade which I believe is the smallest available for C-Mac. However it is sometimes too big for a 500 g baby. I have heard about a Miller 00 for C-Mac but can't find any information in their catalogue about this blade. I was wondering if anyone out there knows about a Miller 00 blade for C-Mac or perhaps uses a different type of videolaryngoscope with 00 blades.
Many thanks in advance

I am cross-posting this from our FB-page. Anyone have experience?

[Stefan Johansson]

I am not sure, but think that the C-Mac system has Miller0-blades but not smaller.

But the Accutronic system goes down to Miller 00:  https://www.acutronic-medical.ch/products/infantview.html

Again not sure, but  I think that one of the Karolinska NICUs (Huddinge) has an Accutronic system

 @wackdi am I right?

 

[Stefan Johansson]

BTW and slightly OT - a study on the usefulness of video-laryngoscopy: http://pediatrics.aappublications.org/content/136/5/912

[Francesco Cardona]

We tested the Accutronic system an liked it :-)

[wackdi]

Hi Francesco and Stefan,

we are using a C-Mac laryngoscope. The smallest blade is 0. The company told us that a 00-blade is on the way ... but by now we haven't seen it.

The view with the C-Mac is fantastic, so I hope that we could see the 00-blade soon.

Greetings from Stockholm

Dirk

[Francesco Cardona]

We had contact with the company last week, they said they are not planning on a smaller blade than the Miller 0, because their Macintosh 0 is thinner and measures similarly to most Miller 00.

Edited January 15, 2018 by Francesco Cardona
clarification

[wackdi]

Hi Francesco,

Thanks for the information. What a pity. Maybe the measurements are similar but than the blade is too long.

For a skilled person it will be possible doing the intubation but this is not the classic procedure (different angel etc).

This means (IMHO ) that the C-Mac can not be used for teaching intubation in infants below about 1200g.

Have a nice weekend

Dirk

[spartacus007]

We are using the macintosh 0 slight problem is the thickness of the handle