{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:28:58Z","timestamp":1787761738217,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Endotracheal intubation (ET) in infants is considered a challenging task over the decades. Infants have short safe apnoea time, and this difficulty has been vanquished to some extent by using the videolaryngoscopes (VLs), but there exists a dearth of research particularly in this vulnerable subset. Therefore, this trial was conducted to evaluate intubation times obtained with C-MAC VL and conventional Miller laryngoscopes in infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 80 infants aged between 1 month and 1 year with American Society of Anesthesiologists physical status I-II requiring ET were randomised in two groups; the C-MAC VL or Miller laryngoscope ML. Anaesthesia was induced with sevoflurane 1\u20138% and atracurium 0.5 mg\/kg IV. The primary outcome was evaluated as the total time taken to intubate. Secondary outcomes were time to achieve best glottic view (TBGV), tube insertion time (TIT), percentage of glottic opening (POGO) score, number of attempts and intubation difficulty score (IDS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The median (interquartile range) of time taken for ET was less in VL; 22.5 (20.75\u201326) compared to ML; 26 (21.75\u201331). TBGV was achieved early in VL group than the ML group (6.03 \u00b1 1.33s\/7.88 \u00b1 2.44) respectively (P-value &lt; 0.001). POGO was better in VL (99.12 \u00b1 4.795s) compared to ML (85.50 \u00b1 31.13s). IDS was less in the VL group (0.07 \u00b1 0.27) than in ML (0.70 \u00b1 1.14). Other parameters, such as the number of attempts, bougie usage, adverse effects and TIT, were comparable across the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>When compared to the ML group, the C-MAC VL group exhibited a decreased intubation time, early TBGV, better POGO score, reduced IDS and subjective intubation difficulty. As a result, we consider VL to be a more efficacious device for intubating the trachea in infants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_988_22","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T04:42:48Z","timestamp":1676954568000},"page":"S133-S139","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of C-MAC Miller blade video laryngoscope with conventional Miller blade in infants undergoing elective surgery- A prospective randomised trial"],"prefix":"10.4103","volume":"67","author":[{"given":"Samriti","family":"Manhas","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Critical Care, VMMC and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, VMMC and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, Guru Teg Bahadur Hospital, Dilshad Garden, East, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ridhima","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ripon","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,2,22]]},"reference":[{"key":"R1-20240902","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1093\/bja\/aeu228","article-title":"Comparison of the laryngoscopy views with the size 1 Miller and Macintosh laryngoscope blades lifting the epiglottis or the base of the tongue in infants and children<2 yr of age","volume":"113","author":"Passi","year":"2014","journal-title":"Br J Anaesth"},{"key":"R2-20240902","doi-asserted-by":"crossref","first-page":"464","DOI":"10.4103\/joacp.JOACP_422_20","article-title":"A randomized comparative evaluation of CMAC videolaryngoscope with Miller laryngoscope for neonatal endotracheal intubation","volume":"38","author":"Goel","year":"2022","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R3-20240902","first-page":"7916","article-title":"Efficacy and safety of videolaryngoscopy-guided verbal feedback to teach neonatal and infant intubation. A prospective randomised cross over study","volume":"63","author":"Saran","year":"2019","journal-title":"Indian J Anaesth"},{"key":"R4-20240902","doi-asserted-by":"crossref","first-page":"431","DOI":"10.25122\/jml-2020-0039","article-title":"Comparison of the laryngoscopic view using Macintosh and Miller blades in children less than four years old","volume":"13","author":"Soltani","year":"2020","journal-title":"J Med Life"},{"key":"R5-20240902","doi-asserted-by":"crossref","first-page":"14","DOI":"10.4103\/joacp.JOACP_7_19","article-title":"Evolution of videolaryngoscopy in pediatric population","volume":"37","author":"Gupta","year":"2021","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R6-20240902","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1111\/pan.13316","article-title":"Comparison of intubation conditions with CMAC Miller videolaryngoscope and conventional Miller laryngoscope in lateral position in infants:A prospective randomized 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