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anesthetist. The VL group utilized a C-MAC S Video Laryngoscope with a size 3 blade (Karl Storz, Tuttlingen, Germany) during indirect visualization of the larynx. Under the direct supervision of a board-certified anesthesiologist, all intubations were performed by certified registered nurse anesthetists who had been in clinical practice for > 5 years and had extensive experience with nasotracheal intubations using the C-MAC device, DL, and Magill forceps. Variables The primary outcome variable was the total time required to successfully

tip shapes of the blades of the King Vision and Airway Scope should be noted, as the former has a longer tip and a larger bend angle than the latter. These characteristics effectively allowed us to use the laryngoscope to easily spread the laryngeal folds and introduce the fiberscope in this patient. The effectiveness of the smaller angle of the blade for securing the laryngeal visual field is consistent with another report stating that the C-MAC D-Blade (Karl Storz) was more useful for observing the larynx than the C-MAC (Karl Storz) Macintosh type of laryngoscope

use associated with undiagnosed epiglottic cyst . Anaesth Intensive Care . 2004 ; 32 : 268 – 270 . 2.  Aziz MF, Dillman D, Fu R, et al . Comparative effectiveness of the C-MAC video laryngoscope versus direct laryngoscopy in the setting of the predicted difficult airway

attempt was performed by anesthesiology resident in the second year of clinical training. Upon mouth opening, the patient immediately began hemorrhaging from his oral cavity, with complete obstruction of view despite continuous use of suction. The patient maintained oxygen saturation of 100%, heart rate of 108 beats per minute, and blood pressure 116/87 mm Hg. It became apparent that the gauze in his mouth had been tamponading the facial artery pseudoaneurysm. The fiberoptic scope was removed and intubation was re-attempted using a C-MAC® video laryngoscope (Karl Storz

appreciable contraindications were noted for video laryngoscopy using a C-MAC D-Blade (Karl Storz) and nasal endotracheal tube (ETT). Patient’s adherence to preoperative fasting guidelines was confirmed. In the operating room, standard American Society of Anesthesiologists (ASA) monitors including a 3-lead electrocardiogram, pulse oximeter, noninvasive blood pressure cuff, capnography, and skin temperature probe along with bispectral index monitor were placed. The patency of 20-gauge IV access in the right antecubital fossa was confirmed with normal saline, and propofol

left axilla after induction. The patient was induced with intravenous fentanyl (100 μg) and lidocaine (50 mg), followed by propofol (70 mg) infused over 3 minutes. Continuous infusions of propofol (120 μg/kg/min) and remifentanil (0.1 μg/kg/min) were started. The nares were prepared with oxymetazoline 0.5% topical spray, and the nasal passages were lubricated and serially dilated up to a size 30 French nasopharyngeal airway. A Cormack-Lehane grade 1 laryngoscopic view was obtained upon video laryngoscopy with a C-MAC D blade (Storz, Tuttlingen, Germany). The patient