{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:05:45Z","timestamp":1785323145668,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,1,9]],"date-time":"2018-01-09T00:00:00Z","timestamp":1515456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Endotracheal intubation in lateral position in infants is a challenge. This difficulty may be surmounted to some extent by using videolaryngoscopes but the routine use of these devices as a tool to secure the airway in lateral position remains unevaluated. Therefore, we conducted a prospective, randomized controlled trial to compare the intubation conditions achieved with the <jats:styled-content style=\"fixed-case\">CMAC<\/jats:styled-content> videolaryngoscope and the Miller Laryngoscope in lateral position in infants. We hypothesized that <jats:styled-content style=\"fixed-case\">CMAC<\/jats:styled-content> videolaryngoscope would provide a better laryngoscopic view and reduce the time to intubation compared to the Miller blade.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010four children aged &lt;1 year, belonging to American Society of Anesthesiologists physical status I\u2010<jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> requiring endotracheal intubation were randomized to undergo tracheal intubation with either the Miller laryngoscope (n = 32) or the <jats:styled-content style=\"fixed-case\">CMAC<\/jats:styled-content> videolaryngoscope (n = 32) in left lateral position. Anesthesia was induced with sevoflurane or thiopentone 5\u20108 mg\/kg <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content> and atracurium 0.5 mg\/kg <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>. Total time taken to intubate was assessed as the primary outcome. Laryngoscopic view, intubation difficulty score, success rate of tracheal intubation, number of attempts, maneuvers used, and any airway complications were recorded as secondary outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The difference in the mean time to intubate (95% confidence interval) between the Miller and <jats:styled-content style=\"fixed-case\">CMAC<\/jats:styled-content> group was 6.1 (1.7\u201010.4) seconds. Furthermore, the <jats:styled-content style=\"fixed-case\">CMAC<\/jats:styled-content> videolaryngoscope provided a better laryngoscopic view compared to the conventional Miller blade. In addition, the Intubation Difficulty Scale score was less in the <jats:styled-content style=\"fixed-case\">CMAC<\/jats:styled-content> videolaryngoscope group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">CMAC<\/jats:styled-content> videolaryngoscope decreases the time taken to intubate and reduces the intubation difficulty when compared to the Miller laryngoscope. Therefore, the <jats:styled-content style=\"fixed-case\">CMAC<\/jats:styled-content> videolaryngoscope may be more useful device when intubating the trachea of infants in the lateral position.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.13316","type":"journal-article","created":{"date-parts":[[2018,1,10]],"date-time":"2018-01-10T11:54:40Z","timestamp":1515585280000},"page":"226-230","source":"Crossref","is-referenced-by-count":28,"title":["Comparison of intubation conditions with <scp>CMAC<\/scp> Miller videolaryngoscope and conventional Miller laryngoscope in lateral position in infants: A prospective randomized trial"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3085-1802","authenticated-orcid":false,"given":"Divya","family":"Jain","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care Post Graduate Institute of Medical Education and Research Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Post Graduate Institute of Medical Education and Research Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Komal","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Post Graduate Institute of Medical Education and Research Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suman","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Post Graduate Institute of Medical Education and Research Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Badal","family":"Parikh","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Post Graduate Institute of Medical Education and Research Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muneer","family":"Abas","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Post Graduate Institute of Medical Education and Research Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4103\/0976-3147.83583","article-title":"Airway management for occipital encephalocele in neonatal patients: a review of 17 cases","volume":"2","author":"Y\u03b9ld\u03b9r\u03b9m ZB","year":"2011","journal-title":"J Neurosci Rural 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