C Mac D blade: Clinical tips and tricks

• Trouble shooting during C Mac D Blade videolaryngoscopic intubation highlighted.
• Methods to facilitate glottic entry: passive neck flexion, rotatory motion of ETT.
• Keeping the ETT parallel to floor while insertion in limited mouth opening patients.
• Partial withdrawal of D blade decreases the POGOscore, but facilitates intubation.
• Pilot balloon inflation angulates the ETT tip upwards/anteriorly towards the larynx.

The C MAC™ D blade videolaryngoscope is used for difficult airway management under vision. Difficulties with its use can arise at different junctures. We present a comprehensive summary of the common problems and their solutions for efficient trouble shooting during intubation with the C MAC D blade.