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Evaluation of the CEL-100 videolaryngoscope(TM) for double-lumen tracheal tube insertion after failure using the Macintosh laryngoscope.
MedLine Citation:
PMID:  22827497     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
W Q Lin; S B Quan; W J Liu; T H Zhang; H T Li; Z J Zhong; L H Cao
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-24
Journal Detail:
Title:  Anaesthesia     Volume:  -     ISSN:  1365-2044     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Anaesthesia © 2012 The Association of Anaesthetists of Great Britain and Ireland.
Affiliation:
 Associate Professor  Resident  Staff Anaesthetist, Department of Anaesthesia, Sun Yat-Sen University Cancer Centre and State Key Laboratory of Oncology of South China, Guangzhou, China  Associate Professor, Department of Anaesthesia, Affiliated DongGuan Shilong Peoples' Hospital of Southern Medical University, DongGuan, China.
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