Journal ArticleDOI
Pediatric video laryngoscope versus direct laryngoscope: a meta-analysis of randomized controlled trials.
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TLDR
A meta‐analysis based on randomized controlled trials in children to compare the clinical efficacy between video laryngoscopes (VLs) and direct larynoscope (DLs) is performed.Abstract:
Summary
Background
We reviewed the updated literature and performed a meta-analysis based on randomized controlled trials in children to compare the clinical efficacy between video laryngoscopes (VLs) and direct laryngoscopes (DLs).
Methods
We searched articles published in English matching the key words ‘video laryngoscope (including Airtraq, GlideScope, Storz, TruView, AWS, Bullard, McGrath)’ AND ‘direct laryngoscope’ AND ‘children (including pediatric, infant, neonate)’ in PubMed, Ovid, Google Scholar, and the Cochrane Library databases. Only prospective randomized controlled trials (RCTs), which compared the use of VLs and DLs in children, were included. The relative risk (RR), weighted mean difference (WMD), and their corresponding 95% confidence interval (95% CI) were calculated using the quality effects model of the metaxl 1.3 software for outcome data.
Results
Fourteen studies were included in this meta-analysis. Although VLs improved the glottis visualization in most children either with normal airways or with potentially difficult intubations, the time to intubation (TTI) was prolonged in comparison to DLs (WMD: 4.9 s; 95% CI: 2.6–7.1). Subgroup analysis showed the GlideScope (WMD: 5.2 s; 95% CI: 2.0–8.5), TruView (WMD: 5.1 s; 95% CI: 0.7–9.5), Storz (WMD: 6.4 s; 95% CI: 4.8–8.1), and Bullard (WMD: 37.5 s; 95% CI: 21.0–54.0) rather than Airtraq (WMD: 0.6 s; 95% CI: −7.7–8.9) prolonged TTI. Although the success rate of the first attempt (RR: 0.96; 95% CI: 0.92–1.00) and associated complications (RR: 1.11; 95% CI: 0.39–3.16) were similar in both groups, VLs were associated with a higher incidence of failure (RR: 6.70; 95% CI: 1.53–29.39).
Conclusion
This meta-analysis demonstrates that although VLs improved glottis visualization in pediatric patients, this was at the expense of prolonged TTI and increased failures. However, further studies are needed to clarify the efficacy and safety of VLs in hands of nonexperts and in children with airway problems.read more
Citations
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Journal ArticleDOI
European Resuscitation Council Guidelines 2021: Paediatric Life Support.
Patrick Van de Voorde,N. M. Turner,Jana Djakow,Nieves de Lucas,Abel Martinez-Mejias,Dominique Biarent,Robert Bingham,O. Brissaud,Florian Hoffmann,Groa Bjork Johannesdottir,Torsten Lauritsen,Ian Maconochie +11 more
TL;DR: These European Resuscitation Council Paediatric Life Support (PLS) guidelines, are based on the 2020 International Consensus on Cardiopulmonary Resuscitations Science with Treatment Recommendations.
Journal ArticleDOI
Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in children (excluding neonates).
TL;DR: The current available literature was reviewed and a meta-analysis was performed to compare direct versus indirect laryngoscopy, or videolaryngoscope, with regards to efficacy and adverse effects for intubation of children, finding no significant differences.
Journal ArticleDOI
A national survey of videolaryngoscopy in the United Kingdom
Tim Cook,F. E. Kelly +1 more
TL;DR: Videolaryngoscopy is available in most hospitals' main operating departments, but in fewer than half of other locations, and most hospitals need to change practice to comply with current guidelines.
Journal ArticleDOI
The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry.
Raymond Park,James Peyton,John E. Fiadjoe,Agnes Hunyady,T. Kimball,David Zurakowski,Pete G. Kovatsis,A. Bosenberg,P. Hopkins,C. Glover,O. Olutoye,Peter Szmuk,Patrick Olomu,Narasimhan Jagannathan,Nicholas E. Burjek,S. Watkins,P. Reynolds,B. Haydar,M. Matuszczak,R. Jain,S. Khalil,D. Polaner,J. Zieg,J. Szolnoki,M. Sathyamoorthy,Brad M. Taicher,S. Bhattacharya,Vidya T. Raman,Tarun Bhalla,Paul A. Stricker,Justin L. Lockman,Jorge A. Gálvez,Mdm Rehman,A. Nishisaki,B. S. von Ungern-Sternberg,David Sommerfield,Codruta Soneru,F. Chiao,Martina Richtsfeld,Kumar G. Belani,L. Sarmiento,Sam Mireles,G. B. Rosas +42 more
TL;DR: During difficult tracheal intubation in children, direct laryngoscopy is an overly used technique with a low chance of success and GlideScope use was associated with a higher chance ofsuccess with no increased risk of complications.
Journal ArticleDOI
Video laryngoscopy does not improve the intubation outcomes in emergency and critical patients – a systematic review and meta-analysis of randomized controlled trials
TL;DR: This systematic review and meta-analysis was designed to determine whether video laryngoscopy could improve the intubation outcomes in emergency and critical patients and concluded that it does not.
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