Miller vs Mac Contraversey!

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Ok all

So i decided i would ask and see what everyone seems to like and why.

I use both equally well ( I attribute that to one CRNA and one MDA for forced me to tube everyone one day with a miller ;P). However, i have a prefrence depending on the patient.

Mac

- Standard adult intubation No cspine

Miller

- Anterior airway

- Short thick neck

- Pediatrics (pick up the epiglottis)

- ANY C-Spined pt.

Anyone else? Whats your preference? Why?

Has anyone tried a Bullard laryngoscope? We had an airway seminar yesterday and Dr. Bullard himself was there, it seemed freaking awesome. Although I'm sure intubation would probably be more difficult on a real person than the mannequin was. It looks really similar to the Glidescope that you are all talking about.

We have a couple of them. Like the GlideScope, some providers feel comfortable enough with the Bullard to call for it first instead of a FOB when dealing with a difficult airway. It is pretty cool to use, but takes some getting used to. It is definitely not the tool of choice in a difficult airway if you are not familiar with it, but after some practice it is quite easy to use.

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The black and white was around 8K as of last year. The big improvement is the color monitor GS for 10K. Little extra money goes a LONG way. The B&W is good for seeing basic structures, but the color one is simply amazing.

We have a couple of each, and you are right - the color one is pretty awesome.

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Specializes in ER/ICU/Anesthesia.

MAC for DLT, Nasal intubation. More room for Magills etc. Miller for anterior airway. I have used a Miller 4 on two occasions. You must use this blade to appreciate it. anyone who is good with airways will tell you that a miller 4 is sometimes just the ticket.

Frank

Bridgeport, SRNA (7 weeks to graduation!!!)

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