BACKGROUND: Video laryngoscopes have been introduced in recent years as an alternative choice to facilitate tracheal intubation. We conducted a meta-analysis to assess their value when compared with direct laryngoscopy. METHODS: PubMed and EMBASE were searched up until 24 September 2010. Randomised trials that reported data on the comparison of video laryngoscopes with direct laryngoscopy for tracheal intubation were included. RESULTS: Eleven trials with a total of 1196 participants were identified. During tracheal intubation, video laryngoscopes can achieve a better view of the glottis and have a similar success rate [rate ratio 1.0; 95% confidence interval (CI) 0.99-1.01]. Overall, the time to tracheal intubation was not different between the video laryngoscopes and direct laryngoscopy (standardised mean difference 0.19; 95% CI -0.37-0.75). However, in a subgroup analysis, video laryngoscopes shortened the time taken for difficult intubation (standardised mean difference, -0.75; 95% CI -1.24 to -0.25). CONCLUSION: Video laryngoscopes are a good alternative to direct laryngoscopy during tracheal intubation. The advantage seems to be more prominent when difficult intubation is encountered.
BACKGROUND: Video laryngoscopes have been introduced in recent years as an alternative choice to facilitate tracheal intubation. We conducted a meta-analysis to assess their value when compared with direct laryngoscopy. METHODS: PubMed and EMBASE were searched up until 24 September 2010. Randomised trials that reported data on the comparison of video laryngoscopes with direct laryngoscopy for tracheal intubation were included. RESULTS: Eleven trials with a total of 1196 participants were identified. During tracheal intubation, video laryngoscopes can achieve a better view of the glottis and have a similar success rate [rate ratio 1.0; 95% confidence interval (CI) 0.99-1.01]. Overall, the time to tracheal intubation was not different between the video laryngoscopes and direct laryngoscopy (standardised mean difference 0.19; 95% CI -0.37-0.75). However, in a subgroup analysis, video laryngoscopes shortened the time taken for difficult intubation (standardised mean difference, -0.75; 95% CI -1.24 to -0.25). CONCLUSION: Video laryngoscopes are a good alternative to direct laryngoscopy during tracheal intubation. The advantage seems to be more prominent when difficult intubation is encountered.
Authors: David R Janz; Matthew W Semler; Robert J Lentz; Daniel T Matthews; Tufik R Assad; Brett C Norman; Raj D Keriwala; Benjamin A Ferrell; Michael J Noto; Ciara M Shaver; Bradley W Richmond; Jeannette Zinggeler Berg; Todd W Rice Journal: Crit Care Med Date: 2016-11 Impact factor: 7.598
Authors: Ibtihal S Abdelgadir; Robert S Phillips; Davinder Singh; Michael P Moncreiff; Joanne L Lumsden Journal: Cochrane Database Syst Rev Date: 2017-05-24
Authors: Jocelyn R Grunwell; Pradip P Kamat; Michael Miksa; Ashwin Krishna; Karen Walson; Dennis Simon; Conrad Krawiec; Ryan Breuer; Jan Hau Lee; Eleanor Gradidge; Keiko Tarquinio; Asha Shenoi; Justine Shults; Vinay Nadkarni; Akira Nishisaki Journal: Pediatr Crit Care Med Date: 2017-08 Impact factor: 3.624