Posted September 19, 20177 yr 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?
September 19, 20177 yr 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?
September 19, 20177 yr BTW and slightly OT - a study on the usefulness of video-laryngoscopy: http://pediatrics.aappublications.org/content/136/5/912
October 3, 20177 yr 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
January 13, 20187 yr Author 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, 20187 yr by Francesco Cardona clarification
January 14, 20187 yr 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
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