{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:38Z","timestamp":1786650038204,"version":"build-2736575974"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Difficult intubation is an important cause of morbidity and mortality during anaesthesia. Detection of patient with difficult airway is very important. Arne multivariate risk classification score is one of the tests that is used to detect this difficult airway patients. McCoy direct laryngoscope and the C-MAC videolaryngoscope are parts of among the tools that are currently used for these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study aimed to compare the intubation success and access the quality of difficult airway using the McCoy direct laryngoscope and the C-MAC video laryngoscope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Included in this study were 100 patients scheduled for elective surgery, ASA I\u2013III, who had the Arne multivariate risk classification score &gt;11. The patients were randomly divided into the C-MAC D-Blade video laryngoscope (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 50) and the McCoy laryngoscope (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 50). The Mallampati score, Arne multivariate score, intubation success, required time for intubation, number of intubation attempts, required time to visualize the glottis, need for auxiliary equipment, and complications were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      No differences in the demographic data were observed between the two groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). In addition, no differences were observed between the groups in the required time to visualize the glottis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.801) or the Arne score (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.619). The rate of use of gum elastic bougies in Grup C-MAC was lower (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.014), and the intubation success rate was higher during the first attempt (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.016). The intubation time was longer in the McCoy group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.017).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The C-MAC D-Blade video laryngoscope was superior to the McCoy direct laryngoscope for difficult-to-intubate patients due to the shorter required time for intubation, higher intubation success rate, and lesser need for auxiliary equipment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_422_24","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T02:00:25Z","timestamp":1742176825000},"page":"78-84","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of the C-MAC D-Blade Video Laryngoscope and the McCoy Laryngoscope in Difficult Airway Patients According to Arne Multivariate Risk Classification: A Randomised Prospective Trial"],"prefix":"10.4103","volume":"28","author":[{"given":"M","family":"Duran","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Faculty of Medicine, Ad\u0131yaman University, Ad\u0131yaman, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Faculty of Medicine, Ad\u0131yaman University, Ad\u0131yaman, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Tepe","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Faculty of Medicine, Ad\u0131yaman University, Ad\u0131yaman, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Private Yeni Hayat Hospital, Osmaniye, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Do\u011fukan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Faculty of Medicine, Ad\u0131yaman University, Ad\u0131yaman, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Nakir","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Nazilli State Hospital, Ayd\u0131n, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MS","family":"Magac","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Bal\u0131kesir State Hospital, Bal\u0131kesir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,17]]},"reference":[{"key":"R1-20260423","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1213\/ANE.0000000000002108","article-title":"Comparison of the mallampati classification in sitting and supine position to predict difficult tracheal intubation: A prospective observational cohort study","volume":"126","author":"Hanouz","year":"2018","journal-title":"Anesth Analg"},{"key":"R2-20260423","first-page":"502","article-title":"Temporal trends in difficult and failed tracheal intubation in a regional community","volume":"128","author":"Schroeder","year":"2018","journal-title":"Anesth Pract Anesth"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1093\/bja\/aer058","article-title":"Major complications of airway management in the UK: Results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: Anaesthesia","volume":"106","author":"Cook","year":"2011","journal-title":"Br J Anaesth"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1093\/bja\/61.2.211","article-title":"Predicting difficult intubation","volume":"61","author":"Wilson","year":"1988","journal-title":"Br J Anaesth"},{"key":"R5-20260423","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1093\/bja\/80.2.140","article-title":"Preoperative assessment for difficult intubation in general and ENT surgery: Predictive value of a clinical multivariate risk index","volume":"80","author":"Arn\u00e9","year":"1998","journal-title":"Br J Anaesth"},{"key":"R6-20260423","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1007\/BF03013910","article-title":"Predictive models for difficult laryngoscopy and intubation. A clinical, radiologic and three-dimensional computer imaging study","volume":"46","author":"Naguib","year":"1999","journal-title":"Can J Anaesth"},{"key":"R8-20260423","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/00000542-200507000-00009","article-title":"Management of the difficult airway: A closed claims analysis","volume":"103","author":"Peterson","year":"2005","journal-title":"Anesthesiology"},{"key":"R9-20260423","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1186\/s12871-020-01021-x","article-title":"Comparison of C-MAC D-blade videolaryngoscope and McCoy laryngoscope efficacy for nasotracheal intubation in simulated cervical spinal injury: A prospective randomized comparative study","volume":"20","author":"Seo","year":"2020","journal-title":"BMC Anesthesiol"},{"key":"R10-20260423","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.3758\/BRM.41.4.1149","article-title":"Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses","volume":"41","author":"Faul","year":"2009","journal-title":"Behav Res Methods"},{"key":"R11-20260423","doi-asserted-by":"crossref","first-page":"35","DOI":"10.4103\/sja.SJA_239_17","article-title":"A randomized controlled trial comparing C Mac D Blade and Macintosh laryngoscope for nasotracheal intubation in patients undergoing surgeries for head and neck cancer","volume":"12","author":"Hazarika","year":"2018","journal-title":"Saudi J Anaesth"},{"key":"R12-20260423","first-page":"485","article-title":"The Closed Claims Project","volume":"20","author":"Lee","year":"2002","journal-title":"Has it influenced anesthetic practice and outcome? Anesthesiol Clin North Am"},{"key":"R13-20260423","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1097\/00000542-199005000-00010","article-title":"Adverse respiratory events in anesthesia: A closed claims analysis","volume":"72","author":"Caplan","year":"1990","journal-title":"Anesthesiology"},{"key":"R14-20260423","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1111\/j.1365-2044.1997.196-az0329.x","article-title":"Experience with the McCoy laryngoscope in difficult laryngoscopy","volume":"52","author":"Chisholm","year":"1997","journal-title":"Anaesthesia"},{"key":"R15-20260423","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1111\/j.1365-2044.1993.tb07075.x","article-title":"The levering laryngoscope","volume":"48","author":"McCoy","year":"1993","journal-title":"Anaesthesia"},{"key":"R16-20260423","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1111\/j.1365-2044.1996.tb07659.x","article-title":"The use of the McCoy laryngoscope in patients with simulated cervical spine injuries","volume":"51","author":"Laurent","year":"1996","journal-title":"Anaesthesia"},{"key":"R17-20260423","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1111\/j.1399-6576.2010.02285.x","article-title":"Video-laryngoscopes in the adult airway management: A topical review of the literature","volume":"54","author":"Niforopoulou","year":"2010","journal-title":"Acta Anaesthesiol Scand"},{"key":"R18-20260423","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1097\/ALN.0b013e31827773b2","article-title":"Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway","volume":"118","author":"Apfelbaum","year":"2013","journal-title":"Anesthesiology"},{"key":"R19-20260423","first-page":"6","article-title":"The D-BLADE: A significantly modified blade for the storz C-MAC videolaryngoscopy system","author":"Missaghi","year":"2010","journal-title":"Internet J Airway Manag"},{"key":"R20-20260423","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.jclinane.2015.12.042","article-title":"Comparison of three video laryngoscopy devices to direct laryngoscopy for intubating obese patients: A randomized controlled trial","volume":"31","author":"Yumul","year":"2016","journal-title":"J Clin Anesth"},{"key":"R22-20260423","first-page":"550","article-title":"Use of video laryngoscopy for rapid sequence induction","volume":"26","author":"Ahmad","year":"2016","journal-title":"J Coll Physicians Surg Pak"},{"key":"R23-20260423","doi-asserted-by":"crossref","first-page":"308","DOI":"10.4103\/aer.AER_7_19","article-title":"Hemodynamic response to orotracheal intubation: Comparison between Macintosh, McCoy, and C-MAC Video laryngoscope","volume":"13","author":"Aggarwal","year":"2019","journal-title":"Anesth Essays Res"},{"key":"R24-20260423","doi-asserted-by":"crossref","first-page":"59","DOI":"10.4103\/0970-9185.173349","article-title":"Comparative effectiveness of McCoy laryngoscope and CMAC(\u00ae) videolaryngoscope in simulated cervical spine injuries","volume":"32","author":"Jain","year":"2016","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R25-20260423","doi-asserted-by":"crossref","first-page":"134","DOI":"10.4103\/roaic.roaic_28_17","article-title":"Comparison between fiberoptic bronchoscope versus C-MAC video-laryngoscope for awake intubation in obese patients with predicted difficult airway","volume":"5","author":"Hegazy","year":"2018","journal-title":"Res Opin Anesth Intensive Care"},{"key":"R26-20260423","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1046\/j.1365-2044.2003.03289.x","article-title":"Use of the bougie in simulated difficult intubation. 2. Comparison of single-use bougie with multiple-use bougie","volume":"58","author":"Marfin","year":"2003","journal-title":"Anaesthesia"},{"key":"R27-20260423","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1046\/j.1365-2044.1999.00876.x","article-title":"Pharyngeal wall perforation--An unusual complication of blind intubation with a gum elastic bougie","volume":"54","author":"Kadry","year":"1999","journal-title":"Anaesthesia"},{"key":"R28-20260423","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1213\/ane.0b013e318176fe36","article-title":"Intubation bougie dissection of tracheal mucosa and intratracheal airway obstruction","volume":"107","author":"Arndt","year":"2008","journal-title":"Anesth Analg"},{"key":"R29-20260423","doi-asserted-by":"crossref","first-page":"126","DOI":"10.5222\/JTAICS.2011.126","article-title":"The importance of predictive tests on determination of intubation difficulties in obese pregnants","volume":"39","author":"Al\u0131\u00e7","year":"2011","journal-title":"Turk Anaesth Int Care"},{"key":"R30-20260423","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1093\/bja\/aer099","article-title":"Comparison of the C-MAC\u00ae, Airtraq\u00ae, and Macintosh laryngoscopes in patients undergoing tracheal intubation with cervical spine immobilization","volume":"107","author":"McElwain","year":"2011","journal-title":"Br J Anaesth"}],"container-title":["Nigerian Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_422_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:01:19Z","timestamp":1786647679000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_422_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/njcp.njcp_422_24","relation":{},"ISSN":["1119-3077","2229-7731"],"issn-type":[{"value":"1119-3077","type":"print"},{"value":"2229-7731","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-07-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}