{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T15:55:43Z","timestamp":1783353343208,"version":"3.54.6"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Anesthesia"],"published-print":{"date-parts":[[2018,9]]},"DOI":"10.1016\/j.jclinane.2018.06.007","type":"journal-article","created":{"date-parts":[[2018,6,9]],"date-time":"2018-06-09T05:53:52Z","timestamp":1528523632000},"page":"53-62","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":41,"special_numbering":"C","title":["C-MAC videolaryngoscope versus Macintosh laryngoscope for tracheal intubation: A systematic review and meta-analysis with trial sequential analysis"],"prefix":"10.1016","volume":"49","author":[{"given":"Hiroshi","family":"Hoshijima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0613-511X","authenticated-orcid":false,"given":"Takahiro","family":"Mihara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Maruyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohei","family":"Denawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Mizuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiya","family":"Shiga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Nagasaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jclinane.2018.06.007_bb0005","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1213\/ANE.0b013e3181c5bce5","article-title":"The C-MAC videolaryngoscope: first experiences with a new device for videolaryngoscopy-guided intubation","volume":"110","author":"Cavus","year":"2010","journal-title":"Anesth Analg"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0010","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1111\/j.1365-2044.2011.06872.x","article-title":"Performance of the C-MAC video laryngoscope in patients after a limited glottic view using Macintosh laryngoscopy","volume":"66","author":"Piepho","year":"2011","journal-title":"Anaesthesia"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0015","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1097\/ALN.0b013e318246ea34","article-title":"Comparative effectiveness of the C-MAC video laryngoscope versus direct laryngoscopy in the setting of the predicted difficult airway","volume":"116","author":"Aziz","year":"2012","journal-title":"Anesthesiology"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0020","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1111\/j.1365-2044.2010.06513.x","article-title":"Comparison of three videolaryngoscopes: Pentax Airway Scope, C-MAC, Glidescope vs the Macintosh laryngoscope for tracheal intubation","volume":"65","author":"Teoh","year":"2010","journal-title":"Anaesthesia"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0025","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.resuscitation.2011.11.024","article-title":"Comparison of different video laryngoscopes for emergency intubation in a standardized airway manikin with immobilized cervical spine by experienced anaesthetists. A randomized, controlled crossover trial","volume":"83","author":"Wetsch","year":"2012","journal-title":"Resuscitation"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0030","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1093\/bja\/aer099","article-title":"Comparison of the C-MAC(R), Airtraq(R), and Macintosh laryngoscopes in patients undergoing tracheal intubation with cervical spine immobilization","volume":"107","author":"Mcelwain","year":"2011","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0035","article-title":"Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation","volume":"11","author":"Lewis","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0040","first-page":"e123","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"3","author":"Moher","year":"2009","journal-title":"Open Med"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0045","doi-asserted-by":"crossref","first-page":"226","DOI":"10.4103\/0970-9185.155221","article-title":"Comparison of Macintosh laryngoscope and C-MAC video laryngoscope for intubation in lateral position","volume":"31","author":"Bhat","year":"2015","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0050","first-page":"43","article-title":"Comparison between C-Mac video-laryngoscope and Macintosh direct laryngoscope during cervical spine immobilization","volume":"23","author":"Akbar","year":"2015","journal-title":"Middle East J Anaesthesiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0055","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1007\/s00540-013-1588-6","article-title":"Clinical evaluation of C-MAC videolaryngoscope with or without use of stylet for endotracheal intubation in patients with cervical spine immobilization","volume":"27","author":"Gupta","year":"2013","journal-title":"J Anesth"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0060","first-page":"121","article-title":"Indirect videolaryngoscopy with C-MAC D-Blade and GlideScope: a randomized, controlled comparison in patients with suspected difficult airways","volume":"79","author":"Serocki","year":"2013","journal-title":"Minerva Anestesiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0065","doi-asserted-by":"crossref","first-page":"R103","DOI":"10.1186\/cc11384","article-title":"Endotracheal intubation using the C-MAC(R) video laryngoscope or the Macintosh laryngoscope: a prospective, comparative study in the ICU","volume":"16","author":"Noppens","year":"2012","journal-title":"Crit Care"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0070","series-title":"Cochrane handbook for systematic reviews of interventions version 5.1.0","author":"Higgins","year":"2011"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0075","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1136\/bmj.328.7454.1490","article-title":"Grading quality of evidence and strength of recommendations","volume":"328","author":"Atkins","year":"2004","journal-title":"BMJ"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0080","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1136\/bmj.327.7414.557","article-title":"Measuring inconsistency in meta-analyses","volume":"327","author":"Higgins","year":"2003","journal-title":"BMJ"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0085","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/1471-2288-14-25","article-title":"The Hartung-Knapp-Sidik-Jonkman method for random effects meta-analysis is straightforward and considerably outperforms the standard DerSimonian-Laird method","volume":"14","author":"Inthout","year":"2014","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0090","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1093\/ije\/dyn188","article-title":"Apparently conclusive meta-analyses may be inconclusive\u2014trial sequential analysis adjustment of random error risk due to repetitive testing of accumulating data in apparently conclusive neonatal meta-analyses","volume":"38","author":"Brok","year":"2009","journal-title":"Int J Epidemiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0095","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1093\/ije\/dyn179","article-title":"Can trial sequential monitoring boundaries reduce spurious inferences from meta-analyses?","volume":"38","author":"Thorlund","year":"2009","journal-title":"Int J Epidemiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0100","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.jclinepi.2007.03.013","article-title":"Trial sequential analysis may establish when firm evidence is reached in cumulative meta-analysis","volume":"61","author":"Wetterslev","year":"2008","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0105","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.jclinepi.2007.10.007","article-title":"Trial sequential analysis reveals insufficient information size and potentially false positive results in many meta-analyses","volume":"61","author":"Brok","year":"2008","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0110","series-title":"User manual for trial sequential analysis (TSA)","author":"Thorlund","year":"2011"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0115","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/EJA.0000000000000186","article-title":"When may systematic reviews and meta-analyses be considered reliable?","volume":"32","author":"Afshari","year":"2015","journal-title":"Eur J Anaesthesiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0120","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"315","author":"Egger","year":"1997","journal-title":"BMJ"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0125","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.2307\/2533446","article-title":"Operating characteristics of a rank correlation test for publication bias","volume":"50","author":"Begg","year":"1994","journal-title":"Biometrics"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0130","first-page":"11477","article-title":"Hemodynamic responses to endotracheal intubation performed with video and direct laryngoscopy in patients scheduled for major cardiac surgery","volume":"8","author":"Sarkilar","year":"2015","journal-title":"Int J Clin Exp Med"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0135","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1471-2253-11-6","article-title":"A randomised, controlled crossover comparison of the C-MAC videolaryngoscope with direct laryngoscopy in 150 patients during routine induction of anaesthesia","volume":"11","author":"Cavus","year":"2011","journal-title":"BMC Anesthesiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0140","doi-asserted-by":"crossref","first-page":"163","DOI":"10.4172\/2155-6148.1000163","article-title":"A randomized comparison of C-MAC videolaryngscope versus Macintosh laryngoscope for tracheal intubation","volume":"2","author":"Hodgetts","year":"2011","journal-title":"J Anesth Clin Res"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0145","doi-asserted-by":"crossref","first-page":"10","DOI":"10.7243\/2049-9752-2-10","article-title":"Utilization of C-MAC videolaryngoscopy for direct and indirect assisted endotracheal intubation","volume":"2","author":"Cattano","year":"2013","journal-title":"J Anesthesiol Clin Sci"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0150","doi-asserted-by":"crossref","first-page":"906","DOI":"10.23736\/S0375-9393.17.11740-2","article-title":"Time-to-intubation in obese patients. A randomized study comparing direct laryngoscopy and videolaryngoscopy in experienced anesthetists","volume":"83","author":"Ander","year":"2017","journal-title":"Minerva Anestesiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0155","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1111\/acem.12933","article-title":"Direct versus video laryngoscopy using the C-MAC for tracheal intubation in the emergency department, a randomized controlled trial","volume":"23","author":"Driver","year":"2016","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0160","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.tjem.2016.02.001","article-title":"Comparison of the C-MAC video laryngoscope to the Macintosh laryngoscope for intubation of blunt trauma patients in the ED","volume":"16","author":"Goksu","year":"2016","journal-title":"Turk J Emerg Med"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0165","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1097\/EJA.0000000000000525","article-title":"C-MAC videolaryngoscope compared with direct laryngoscopy for rapid sequence intubation in an emergency department: a randomised clinical trial","volume":"33","author":"Sulser","year":"2016","journal-title":"Eur J Anaesthesiol"},{"key":"10.1016\/j.jclinane.2018.06.007_bb0170","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1111\/j.1365-2044.1984.tb08932.x","article-title":"Difficult tracheal intubation in obstetrics","volume":"39","author":"Cormack","year":"1984","journal-title":"Anaesthesia"}],"container-title":["Journal of Clinical Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0952818018304549?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0952818018304549?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T09:11:54Z","timestamp":1760605914000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0952818018304549"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":34,"alternative-id":["S0952818018304549"],"URL":"https:\/\/doi.org\/10.1016\/j.jclinane.2018.06.007","relation":{},"ISSN":["0952-8180"],"issn-type":[{"value":"0952-8180","type":"print"}],"subject":[],"published":{"date-parts":[[2018,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"C-MAC videolaryngoscope versus Macintosh laryngoscope for tracheal intubation: A systematic review and meta-analysis with trial sequential analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Anesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jclinane.2018.06.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}