{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T08:59:50Z","timestamp":1790240390663,"version":"4.1.0"},"reference-count":19,"publisher":"The Korean Society of Anesthesiologists","issue":"5","license":[{"start":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T00:00:00Z","timestamp":1671753600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["ekja.org"],"crossmark-restriction":true},"short-container-title":["Korean J Anesthesiol"],"published-print":{"date-parts":[[2023,10,1]]},"abstract":"<jats:p>Background: Optimizing endotracheal tube (ETT) shape is important for successful videolaryngoscope-aided intubation. This prospective randomized controlled study aimed to compare the tube-handling time between a C-curved and hockey stick-shaped stylet in infants and neonates using the C-MAC\u00ae videolaryngoscope Miller blade.Methods: A total of 110 infants (age &lt; 1 year) were randomly assigned to either the hockey stick-curved stylet group (group H, n = 53) or the C-curved stylet group (group C, n = 57). The primary outcome was tube handling time after glottis visualization and the secondary outcomes were the total intubation time, incidence of successful intubation, initial tube tip location at the laryngeal inlet, and numerical rating scale for ease of intubation. Results: Tube insertion time and total intubation duration (both in seconds) were significantly shorter in group C than in group H (13.3 \u00b1 8.9 vs. 25.1 \u00b1 27.0, P = 0.002; 19.9 \u00b1 9.4 vs. 32.8 \u00b1 27.1, P = 0.001, respectively). Group C displayed a higher rate of intubation success within 30 s than group H (87.7% vs. 69.8%, P = 0.029). The initial tube tip was located at the center in 34 children in group C (59.6%) and 12 children in group H (26.1%, P &lt; 0.001). Laryngoscope operators rated intubation as easier when provided with a C-curved stylet.Conclusions: In neonates and infants, modification of the ETT shape into a C-curve may reduce tube handling time compared to the conventional hockey stick-shaped tube during intubation using a C-MAC\u00ae video laryngoscope Miller blade.<\/jats:p>","DOI":"10.4097\/kja.22716","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T05:57:10Z","timestamp":1671775030000},"page":"433-441","update-policy":"https:\/\/doi.org\/10.4097\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Usefulness of C-curved stylet for intubation with the C-MAC\u00ae Miller videolaryngoscope in neonates and infants: a prospective randomized controlled 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