EurekaMag
+ Translate
+ Most Popular
Gaucher's disease;thirty-two years experience at Siriraj Hospital
A study of Macrobathra Meyrick from China (Lepidoptera, Cosmopterigidae)
First occurrence in ores of tetragonal chalcocite
Effects of trace element nutrition on sleep patterns in adult women
N.Z. range management guidelines. 2. Design of grazing management systems for tussock country
A case of lipoma of the esophagus
A revision of world Acanthosomatidae (Heteroptera: Pentatomidae): keys to and descriptions of subfamilies, tribes and genera, with designation of types
Life history of the coronate scyphozoan Linuche unguiculata (Swartz, 1788)
Perceptual restoration of obliterated sounds
Mutagenicity studies on two chromium(III) coordination compounds
The formation of the skeleton. I. Growth of a long bone. 1st appearance of a center of calcification
Leucopenia and abnormal liver function in travellers on malaria chemoprophylaxis
The joint commission: four key root causes loom large in sentinel event data
Treatment of vitiligo with topical 15% lactic acid solution in combination with ultra violet-A
Behaviour of dairy cows within three hours after feed supply: I. Influence of housing type and time elapsing after feed supply
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Management and control of patients with type 2 diabetes mellitus in Lebanon: results from the International Diabetes Management Practices Study (IDMPS)
The diet composition and nutritional knowledge of patients with anorexia nervosa
Physoporella croatica Herak, 1958 of the Slovak karst Anisian (Slovakia, the West Carpathians Mts.)
Bright lights, big noise. How effective are vehicle warning systems?
Ein Plesiosaurier-Rest mit Magensteinen aus mittlerem Lias von Quedlinburg
Incidence of Chlamydia trachomatis in patients with sterility
Monster soup: the microscope and Victorian fantasy
Preliminary tests with residual sprays against poultry lice
Duration of the life of plants in phylogeny

Tracheal intubation in the emergency department: a comparison of GlideScope® video laryngoscopy to direct laryngoscopy in 822 intubations


Tracheal intubation in the emergency department: a comparison of GlideScope® video laryngoscopy to direct laryngoscopy in 822 intubations



Journal of Emergency Medicine 42(4): 400-405



ISSN/ISBN: 0736-4679

PMID: 21689899

DOI: 10.1016/j.jemermed.2011.05.019

Video laryngoscopy has, in recent years, become more available to emergency physicians. However, little research has been conducted to compare their success to conventional direct laryngoscopy. To compare the success rates of GlideScope(®) (Verathon Inc., Bothell, WA) videolaryngoscopy (GVL) with direct laryngoscopy (DL) for emergency department (ED) intubations. This was a 24-month retrospective observational study of all patients intubated in a single academic ED with a level I trauma center. Structured data forms were completed after each intubation and entered into a continuous quality improvement database. All patients intubated in the ED with either the GlideScope(®) standard, Cobalt, Ranger, or traditional Macintosh or Miller laryngoscopes were included. All patients intubated before arrival were excluded. Primary analysis evaluated overall and first-attempt success rates, operator experience level, performance characteristics of GVL, complications, and reasons for failure. There were 943 patients intubated during the study period; 120 were excluded due to alternative management strategies. DL was used in 583 (62%) patients, and GVL in 360 (38%). GVL had higher first-attempt success (75%, p = 0.03); DL had a higher success rate when more than one attempt was required (57%, p = 0.003). The devices had statistically equivalent overall success rates. GVL had fewer esophageal intubations (n = 1) than DL (n = 18); p = 0.005. The two techniques performed equivalently overall, however, GVL had a higher overall success rate, and lower number of esophageal complications. In the setting of ED intubations, GVL offers an excellent option to maximize first-attempt success for airway management.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056624948

Download citation: RISBibTeXText

Related references

A comparison of GlideScope video laryngoscopy versus direct laryngoscopy intubation in the emergency department. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine 16(9): 866-871, 2009

Comparison of GlideScope Video Laryngoscopy and Direct Laryngoscopy for Tracheal Intubation in Neonates. Anesthesia and Analgesia 129(2): 482-486, 2019

Video Laryngoscopy Compared to Augmented Direct Laryngoscopy in Adult Emergency Department Tracheal Intubations: A National Emergency Airway Registry (NEAR) Study. References 27(2): 100-108, 2020

Comparison of video laryngoscopy to direct laryngoscopy for intubation of patients with difficult airway characteristics in the emergency department. Internal and Emergency Medicine 9(1): 93-98, 2014

Comparison of Glide Scope Video Laryngoscopy to Direct Laryngoscopy for Intubation of Pediatric Patients in the Emergency Department. Annals of Emergency Medicine 62(4): S75-S76, 2013

A comparison between video laryngoscopy and direct laryngoscopy for endotracheal intubation in the emergency department: A meta-analysis of randomized controlled trials. Journal of Clinical Anesthesia 47: 21-26, 2018

A comparison between video laryngoscopy and direct laryngoscopy for endotracheal intubation in the emergency department: A meta-analysis of randomized controlled trials. Journal of Clinical Anesthesia 47: 21-26, 2018

Comparison of video laryngoscopy versus direct laryngoscopy for intubation in emergency department patients with cardiac arrest: A multicentre study. Resuscitation 136: 70-77, 2019

GlideScope video laryngoscopy versus direct laryngoscopy in the emergency department: a propensity score-matched analysis. Bmj Open 5(5): E007884, 2015

A Randomized, Blinded, Clinical Study of Injury Incidence During Endotracheal Intubation: Comparison of GlideScope Video Laryngoscopy and Direct Laryngoscopy. Aana Journal 85(6): 445-451, 2017

Comparison between the Truview PCD™ or the GlideScope® video laryngoscope and direct laryngoscopy for tracheal intubation in pediatric patients. Canadian Journal of Anaesthesia 60(7): 735-736, 2013

Comparison Between Direct and Video-assisted Laryngoscopy for Intubations in a Pediatric Emergency Department. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine 23(8): 870-877, 2016

Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients. British Journal of Anaesthesia 102(4): 546-550, 2009

Hemodynamic response and airway morbidity following tracheal intubation: a comparison between direct laryngoscopy, video laryngoscopy and lightwand techniques. Canadian Journal of Anesthesia/Journal canadien d'anesthésie 55(1 Supplement): 4746621-4746622, 2008

Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Canadian Journal of Anaesthesia 59(1): 41-52, 2012