Video laryngoscopes contain a small camera and a light source at the distal third of the blade. Video laryngoscopes seem promising for airway management. This knowledge suggests that optimization of visualization of the glottis might reduce complications. Additionally, multiple attempts of endotracheal intubation are often necessary to secure the patient's airway in the ICU setting and are known to increase the risk of life-threatening complications, such as severe hypoxia, esophageal intubation, aspiration and cardiac arrest. Visualizing the glottis is often difficult in the ICU due to the constraints of space, the position of the patient and the accompanying comorbidities. The number of difficult intubations ranges from 10 to 22% in critically ill patients. For example, the incidence of difficult endotracheal intubations is higher in the ICU than in the operating room. Video laryngoscopy seems to be a useful tool in the ICU where potentially difficult endotracheal intubations regularly occur.ДЄirway management for critically ill patients in locations other than the operating room is challenging and frequently associated with life-threatening complications. Use of the C-MAC В® video laryngoscope improved laryngeal imaging and improved the intubating success rate on the first attempt in patients with predictors for difficult intubation in the ICU setting. The visualization of the glottis with ML using Cormack and Lehane (C&L) grading was more frequently rated as difficult (20%, C&L grade 3 and 4) compared with the C-MAC В® (7%, C&L grade 3 and 4) ( P < 0.0001). In patients with at least one predictor for difficult intubation, the C-MAC В® resulted in more successful intubations on first attempt compared with ML (34/43, 79% vs. ResultsДЄ total of 274 critically ill patients requiring endotracheal intubation were included 113 intubations using ML and 117 intubations using the C-MAC В® were assessed. In a single-center, prospective, comparative before-after study in an anesthetist-lead surgical ICU of a tertiary university hospital, predictors of potentially difficult tracheal intubation, number of intubation attempts, success rate and glottic view were evaluated during a 2-year study period (first year, Macintosh laryngoscopy (ML) second year, C-MAC В®). The aim of this study was to investigate the effect of the C-MAC В® video laryngoscope on laryngeal view and intubation success compared with direct laryngoscopy. Endotracheal intubation in the ICU is a challenging procedure and is frequently associated with life-threatening complications.

C mac glassdoor