Related Experiment Video
Updated: Oct 30, 2025
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Comparison of the C-MAC D-Blade videolaryngoscope and direct laryngoscope in pediatric patients: Randomized
Konul Hajiyeva1, Özlem Selvi Can2, Volkan Baytaş2
1Department of Anesthesiology and Reanimation, Memorial Hospital, Ankara-Turkey.
Insights
The C-MAC D-Blade videolaryngoscope significantly reduced endotracheal intubation time in pediatric patients compared to the Macintosh laryngoscope. This suggests videolaryngoscopes are effective for routine and difficult pediatric airway management.
Area of Science:
- Anesthesiology
- Pediatric Critical Care
- Airway Management
Background:
- Endotracheal intubation is a critical clinical skill, often challenging in pediatric patients due to anatomical differences.
- Videolaryngoscopes are increasingly used as rescue devices for difficult direct laryngoscopies.
Purpose of the Study:
- To compare the efficacy of the C-MAC D-Blade videolaryngoscope versus the traditional Macintosh laryngoscope for endotracheal intubation in pediatric patients.
- To evaluate intubation time, glottic view, and complications between the two devices.
Main Methods:
- A randomized study included 56 pediatric patients (5-10 years) undergoing elective surgery requiring endotracheal intubation.
- Patients were allocated to intubation with either a Macintosh laryngoscope or a C-MAC D-Blade videolaryngoscope.
- Key metrics recorded included glottic view, number of attempts, intubation duration, complications, and hemodynamic variables.
Main Results:
- The C-MAC D-Blade significantly reduced mean intubation time (21±9 seconds) compared to the Macintosh laryngoscope (41±7 seconds) (p<0.001).
- No significant differences were observed between the groups for other recorded parameters.
Conclusions:
- The C-MAC D-Blade videolaryngoscope approximately halved the intubation time in pediatric patients.
- Videolaryngoscopes, including the C-MAC D-Blade, show promise for routine pediatric intubation, training, and managing difficult airways.
Background:
Endotracheal intubation is a key skill for clinicians and may be challenging in some patients due to various reasons. Nowadays, various kinds of videolaryngoscopes are available and usually used as a rescue device when direct laryngoscopy failed. Pediatric airway has some differences when compared with adults and may be challenging. This study aims to compare and evaluate C Mac D-Blade and commonly used Macintosh laryngoscope in pediatric patients.
Methods:
In this study, 56 pediatric patients, 5-10 years old (10-40 kgs) who had undergone elective surgery and need endotracheal intubation were included after obtaining ethical board approval and informed consent from parents. The patients were randomized into two equal groups for laryngoscopy and intubation by either with Macintosh laryngoscope or C Mac D-Blade videolaryngoscope. Glottic view, number of attempts, intubation time, any complications and hemodynamic variables were recorded. A value of p<0.05 was considered significant.
Results:
In pediatric patients with unanticipated difficult airway, the mean intubation time was significantly shorter with C Mac D-Blade (21±9 and 41±7 seconds, respectively (p<0.001). The results of the two groups were similar concerning the remaining parameters.
Conclusion:
C Mac D-Blade videolaryngoscope shortened intubation time about twice when compared to Macintosh blade C Mac D-Blade videolaryngoscope, Videolaryngoscopes may be a good alternative for routine intubation, education and a rescue device for difficult intubation.
