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

Video laryngoscopy versus direct laryngoscopy for first-attempt tracheal intubation in the general ward


Video laryngoscopy versus direct laryngoscopy for first-attempt tracheal intubation in the general ward



Annals of Intensive Care 8(1): 83



ISSN/ISBN: 2110-5820

PMID: 30105607

DOI: 10.1186/s13613-018-0428-0

Recent trials showed that video laryngoscopy (VL) did not yield higher first-attempt tracheal intubation success rate than direct laryngoscopy (DL) and was associated with higher rates of complications. Tracheal intubation can be more challenging in the general ward than in the intensive care unit. This study aimed to investigate which laryngoscopy mode is associated with higher first-attempt intubation success in a general ward. This is a retrospective study of tracheal intubations conducted at a tertiary academic hospital. This analysis included all intubations performed by the medical emergency team in the general ward during a 48-month period. For the 958 included patients, the initial laryngoscopy mode was video laryngoscopy in 493 (52%) and direct laryngoscopy in 465 patients (48%). The overall first-attempt success rate was 69% (664 patients). The first-attempt success rate was higher with VL (79%; 391/493) than with DL (59%; 273/465, p < 0.001). The first-attempt intubation success rate was higher among experienced operators (83%; 266/319) than among inexperienced operators (62%; 398/639, p < 0.001). In multivariate logistic regression analyses, VL, pre-intubation heart rate, pre-intubation SpO2 > 80%, a non-predicted difficult airway, experienced operator, and Cormack-Lehane grade were associated with first-attempt intubation success in the general ward. Over all intubation-related complications were not different between two groups (27% for VL vs. 25% for DL). However, incidence of a post-intubation SpO2 < 80% was higher with VL than with DL (4% vs. 1%, p = 0.005), and in-hospital mortality was also higher (53.8% vs. 43%, p = 0.001). In a general ward setting, the first-attempt intubation success rate was higher with video laryngoscopy than with direct laryngoscopy. However, video laryngoscopy did not reduce intubation-related complications. Furthers trials on best way to perform intubation in the emergency settings are required.

Please choose payment method:






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

Accession: 065667657

Download citation: RISBibTeXText

Related references

Comparing video and direct laryngoscopy for tracheal intubation in the general ward. Annals of Intensive Care 9(1): 21, 2019

First-Attempt Intubation Success of Video Laryngoscopy in Patients With Anticipated Difficult Direct Laryngoscopy. Survey of Anesthesiology 60(4): 149-150, 2016

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

Direct laryngoscopy or C-MAC video laryngoscopy? Routine tracheal intubation in patients undergoing ENT surgery. Der Anaesthesist 59(9): 806-811, 2010

Video laryngoscopy versus direct laryngoscopy for tracheal intubation during in-hospital cardiopulmonary resuscitation. Resuscitation 89: 195-199, 2015

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, 2012

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

First-Attempt Intubation Success of Video Laryngoscopy in Patients with Anticipated Difficult Direct Laryngoscopy: A Multicenter Randomized Controlled Trial Comparing the C-MAC D-Blade Versus the GlideScope in a Mixed Provider and Diverse Patient Population. Anesthesia and Analgesia 122(3): 740-750, 2016

Circulatory changes during direct laryngoscopy and tracheal intubation: influence of duration of laryngoscopy with or without prior lidocaine. Anesthesiology 47(4): 381-384, 1977

A comparison of video laryngoscopy to direct laryngoscopy for the emergency intubation of trauma patients. World Journal of Surgery 39(3): 782-788, 2015

Is video laryngoscopy easier than direct laryngoscopy for intubation in patients with contracture neck?. Saudi Journal of Anaesthesia 14(2): 206-211, 2020

Retrograde light-guided laryngoscopy for tracheal intubation: clinical practice and comparison with conventional direct laryngoscopy. Anesthesiology 118(5): 1059-1064, 2013

Just-in-Time Video Laryngoscopy Versus Direct Laryngoscopy for Neonatal Intubation. Journal of Perinatal and Neonatal Nursing 30(4): 367-371, 2016

Is video laryngoscopy really superior to direct laryngoscopy for emergency intubation in prehospital trauma patients?. Internal and Emergency Medicine 12(1): 139-140, 2017