Effectiveness of C-MAC Video-stylet Versus Fiberoptic Bronchoscope for Awake Intubation

Effectiveness of C-MAC Video-stylet Versus Fiberoptic Bronchoscope for Awake Intubation in Patients With Predicted Difficult Airway

C-MAC- Video Stylet is a completely new type of video endoscope. It combines the advantages of both rigid and flexible intubation endoscopes.

C-MAC-VS can be connected easily to the same C- MAC monitor and Pocket Monitor without requiring any additional light source and camera. This device is great for cases with limited mouth opening, airway obstruction and difficult intubation.

Inclusion Criteria:

• patients with BMI ≥ 30 kg/m2,
• presence of any predictors of difficult intubation;
• Mallampati score > =3;
• inter-incisor distance < 3 cm;
• thyromental distance < 6 cm;
• neck extension < 80°from neck flexion;
• cervical spine instability;
• history of difficult endotracheal intubation or difficult mask ventilation

Exclusion Criteria:

• patients have increased risk of pulmonary aspiration;
• have significant medical diseases in term of cardiac, respiratory, hepatic, renal,