Video Laryngoscope Thread

CALEMT

The Other Guy/ Paramaybe?
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I guess we’re getting McGrath Video laryngoscopes. Anyone have any experience with them? Good or bad.
 

GMCmedic

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I guess we’re getting McGrath Video laryngoscopes. Anyone have any experience with them? Good or bad.
They work good, I have trouble manipulating a bougie but with a standard mac 3 and a copilot stylette I have no issue. Ive heard others say the bougie is easier with the xblade.

The battery indicator is unreliable.
 

StCEMT

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I guess we’re getting McGrath Video laryngoscopes. Anyone have any experience with them? Good or bad.
McGrath X3 and a bougie is my ****. Thats my go to the vast majority of intubations and it works fantasticly well. Screen isn't on par with what you see in the ED, but the quality is more than enough to know what you're looking at. Just dont expect 4k HD etc.

Obviously be mindful of dirtying your lense, but that goes for any VL. Insert SALAD here. Also keep in mind blade placement for hyperangulated blades like the X3.

But I absolutely love it and you have the added benefit of being able to do DL with should you want/need. Your learning curve should be simple.
 

StCEMT

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They work good, I have trouble manipulating a bougie but with a standard mac 3 and a copilot stylette I have no issue. Ive heard others say the bougie is easier with the xblade.

The battery indicator is unreliable.
We are bougies only here, but what issues specifically do you run into with it and manipulating the bougie? The copilot stylet I would definitely be interested in trying one day.

I've done pretty much every bougie method I know of with it. Bonjo, two person transfer, doing the bougie/tube transfer solo, etc.
 

VentMonkey

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Is there a VL thread? I can’t remember, if not someone should create one and put these comments in it. Pros and cons, I’d be down to share experiences.

Off topic, I sure hope my Boys can muster through this postseason and come out on top. It’s been over 30 damn years.
 
OP
CALEMT

CALEMT

The Other Guy/ Paramaybe?
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The battery indicator is unreliable.

Shocker.

We are bougies only here, but what issues specifically do you run into with it and manipulating the bougie? The copilot stylet I would definitely be interested in trying one day.

I've done pretty much every bougie method I know of with it. Bonjo, two person transfer, doing the bougie/tube transfer solo, etc.

I’m fairly excited to have it in my “toolbox”. Although the area I work (rural farmland) doesn’t see a lot of calls so it’ll be a while when I get to use it.

Only time I’ve used VL was my OR clinical rotation in medic school and even then it wasn’t close to what’s used in the field setting. It was fiber optics.
 

ffemt8978

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Is there a VL thread? I can’t remember, if not someone should create one and put these comments in it. Pros and cons, I’d be down to share experiences.

Off topic, I sure hope my Boys can muster through this postseason and come out on top. It’s been over 30 damn years.
Done.
 
OP
CALEMT

CALEMT

The Other Guy/ Paramaybe?
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Off topic, I sure hope my Boys can muster through this postseason and come out on top. It’s been over 30 damn years.

Stay on topic damn you. Baseball doesn’t belong in the VL thread.
 

VentMonkey

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We’re still a KV service. I’m channeled only since I still can’t master the ergonomic finesse with a styletted ETT and a non-channeled blade.

We have the old KV, and I’ve been told we’re in the market for either the newest version, or a different VL altogether.

I do believe our manager has scouted the McGrath, but I have no firsthand experience with it, pun intended.
 

DesertMedic66

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No experience with them. We are CMAC only. I’ve seen PSFD kill a couple of patients with them.
 

GMCmedic

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We are bougies only here, but what issues specifically do you run into with it and manipulating the bougie? The copilot stylet I would definitely be interested in trying one day.

I've done pretty much every bougie method I know of with it. Bonjo, two person transfer, doing the bougie/tube transfer solo, etc.
I'm sure it comes down to technique, I always seem to start out south of the cords and when I manipulate the bougie, I just do circles around the outside edge. It's something I probably need to work on, but Ive had no issues with the copilot to this point.
 

TRSpeed

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No experience with them. We are CMAC only. I’ve seen PSFD kill a couple of patients with them.

No way! CMAC is awesome hard to believe someone can mess that up lol. With that being said with a CMAC you are able to do DL and VL which is real nice. My only other VL experience was with the KV which I didn’t personally like. With the KV just be careful not to go too deep and get false reassurance seeing the cords, you will see them but it will be very difficult to pass the tube. Unfortunately not all people know that which causes them to miss the intubation.
 

Carlos Danger

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CMAC is very good. My favorite for sure, though I haven’t used it in a handful of years.

The McGrath definitely doesn’t suck. We have them at one of the small rural hospitals that I occasionally cover. Nice and compact; I would imagine great for field use, but otherwise no better or worse than any other VL in my (admittedly limited) experience.

They are mostly all the same.
 

dutemplar

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We still carry traditional steel, and the McGrath. Glidescopes are usually available, I'll usually grab one if I can.

I've used the McG a bunch of times, and it is my go to unless I see utter airway hell and I know I'm gonna be tossing a salad and using a shop vac. It's more "normal" than the "blind shifting gears" of the Glidescope. It does seem to target a bit deeper than what I expect it should, and I usually end up inserting pulling back a smidge. The blades are plastic, so it does have more play to it than steel or even the stronger Glidescope blades. If someone's head resembles a bowling ball, it isn't going to be my first choice unless I can really ramp 'em up.

The good: Compact, clear view, nice little protective case, fast to use, "normal" kind of inline use and a bougie or hockey stick will take you home.

The bad: Not as strong as the other blades, smaller view screen, like all VLs can get FUBAR is you drop it into yukky stuff.
 

VFlutter

Flight Nurse
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Really love our new C-Mac 8403XD. Weight and balance takes a bit to get used to but the screen and picture quality is amazing.
 

silver

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The good: Compact, clear view, nice little protective case, fast to use, "normal" kind of inline use and a bougie or hockey stick will take you home.

The bad: Not as strong as the other blades, smaller view screen, like all VLs can get FUBAR is you drop it into yukky stuff.

To add, you can also DL with a McGrath fairly easily if needed.


I like Mcgrath the best out of the video scopes. Its versatile, light weight, has a low profile, and their view is angulated enough to get you out of trouble when you need it. However the view is narrow as mentioned (always watch your tube go into the mouth and don't look at your screen) and the color/saturation washes out with use.
 
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Tigger

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I like the McGrath, have had access to it for most of my paramedic career and therefore am probably most comfortable with it. It feels like laryngoscope in your hand and doesn't seem to need as much change in technique if you're used to DL. I appreciate having different blade sizes (goes to a 1 if you're still doing pedi ETT) as well as a hyperangulated option. I have not had a need for the X blade but I am sure it's out there. I also like that you can use it for DL but honestly I often forget this when the camera gets nasty and resort to another option. Once I learned the whole SALAD technique deal that issue went mostly away, as it does for all VL.

Logistically I like that we can keep all of our supplies for it (blades, extra battery, cleaning wipes) in a small pelican case. There is no reason to be bringing it on every call I don't think anyway. The batteries are a lil' pricy though. It is also easy enough to clean.

Also use the KingVision at another job. Once you get the technique with the channeled blade it feels like you aren't even intubating it's so easy...right up until you get the occasional patient who the channel doesn't work for (combined with my skillset). That's another thing I like about the McGrath, while it may not be as easy to use as the KV all the time, it gives you some flexibility in technique. I do not like that there is really no solution for storing the rather bulky blades (only the camera unit gets a case).

Used a glidescope (Ranger and others) a few times as well, felt like the McGrath but with a screen not on the handle. I'm sure that's easy to get used to.
 

jgmedic

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Wow! The bear bit the bullet and bought you guys VL's! That's awesome. Means I can go to my Chief and play the hey, well Cal Fire got em card.
 

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