Comparison of the GlideScope Cobalt® and Storz DCI® Video Laryngoscopes in Children Younger Than 2 Years of Age During Manual In-Line Stabilization

Vadi, Marissa G.; Roddy, Katie J.; Ghazal, Elizabeth A.; Um, Michael; Neiheisel, Andrew J.

doi:10.1097/pec.0000000000000607

Cited by 19 publications

(22 citation statements)

References 40 publications

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“…This literature reports improved glottic views for children undergoing elective surgery, but there is often equivalent or in some cases longer times to intubation. [13][14][15][16] A meta-analysis of pediatric VL studies found improved laryngeal views, but no difference in FPS and no difference or increased time to intubation when VL were used by experienced anesthesiologists. 14 In our study, residents performed most of our intubations, similar to the National Emergency Airway Registry study, which reported that 83% of first attempts at 10 participating centers were completed by resident physicians.…”

Section: Discussionmentioning

confidence: 99%

“…12,[20][21][22] Most of the anesthesia literature on elective intubations has shown no improvement in FPS with the use of VL and increased intubation times. [13][14][15][16] The very limited literature in emergency medicine (EM) has also revealed no difference in FPS or adverse events with VL compared with DL. 20,21 We reviewed our data over the past 10 years to see if there was an increase in FPS-AE associated with VL use in our pediatric ED.…”

mentioning

confidence: 99%

“…Most of the current VL literature is based on elective intubations in the operating room or on simulators. [13][14][15][16][17][18][19] Very limited data regarding VL performance in the ED are available. 12,[20][21][22] Most of the anesthesia literature on elective intubations has shown no improvement in FPS with the use of VL and increased intubation times.…”

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confidence: 99%

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Clinical Experience With the C-MAC and GlideScope in a Pediatric Emergency Department Over a 10-Year Period

et al. 2019

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Objective: There is little literature describing the performance of video laryngoscopes for the intubation of pediatric patients in the emergency department (ED). The purpose of this study is to report our experience with direct laryngoscopy (DL), the C-MAC (CMAC), and the GlideScope (GVL) over a 10-year period in an urban academic pediatric ED. Methods:This was an analysis of pediatric intubations prospectively recorded into a Continuous Quality Improvement database in an academic pediatric ED over a 10-year period. Between July 1, 2007, and June 30, 2017, emergency physicians recorded all consecutive intubations performed in the pediatric ED. The database included patient demographics and detailed information on each intubation such as age of the patient, reason for intubation, device(s) used, method of intubation, difficult airway characteristics, adverse events, number of intubation attempts, and outcome of each attempt. All patients younger than 18 years who underwent intubation by an emergency medicine resident using a DL or videolaryngoscope (CMAC or GVL) were included in the study. The primary outcome measure was first-pass success without adverse events (FPS-AE), which was defined as successful tracheal intubation on a single laryngoscope insertion without the occurrence of any adverse events during the peri-intubation period. A multivariate regression analysis was performed to control for potential confounders and included difficult airway characteristic, operator level of training, method of intubation, and patient age.Results: During the study period, 530 intubations were performed in pediatric patients. Of these, 493 intubations met the inclusion criteria and were analyzed (218 DL, 187 CMAC, 88 GVL). The FPS-AE with each device is as follows: DL, 54.1% (n = 118/218); CMAC, 64.0% (n = 119/187); and GVL, 52.3% (n = 46/88). In the logistic regression analysis, compared with DL, the CMAC was associated with a higher FPS-AE (odds ratio, 1.6 [95% confidence interval, 1.03-2.45]), whereas the GVL was not associated with an increased FPS-AE (odds ratio, 0.62 [95% confidence interval, 0.35-1.10]). Conclusions:In this study of pediatric patients intubated in the ED, compared with DL, the CMAC was associated with an increased FPS-AE, but the GVL was not.

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Section: Discussionmentioning

confidence: 99%

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Clinical Experience With the C-MAC and GlideScope in a Pediatric Emergency Department Over a 10-Year Period

et al. 2019

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“…Einige SR deuten auf ein erhöhtes Risiko einer verlängerten Intubationszeit und einer erfolglosen Intubation mit Videolaryngoskopie hin [192][193][194]. Neuere RCT-und Beobachtungsstudien deuten auf einen Vorteil hin, aber die Evidenzen bleiben widersprüchlich [195][196][197][198][199][200][201][202] [203]. Bei kleinen Kindern kann die Inzidenz von Rhythmusstörungen verringert werden, wenn Atropin zusätzlich zu den für die Notfallintubation verwendeten Medikamenten gegeben wird [204].…”

Section: Videolaryngoskopieunclassified

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Voorde

Turner

Djakow

et al. 2021

Notfall Rettungsmed

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Die Leitlinien des European Resuscitation Council (ERC) zu den lebensrettenden Maßnahmen bei Kindern (Paediatric Life Support, PLS) basieren auf dem 2020 verfassten „International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations“ der ILCOR (International Liaison Committee on Resuscitation). Dieses Kapitel beinhaltet Leitlinien zur Behandlung kritisch kranker oder verletzter Säuglinge, von Kindern und Jugendlichen vor, während und nach einem Atem-Kreislauf-Stillstand.

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“…Finally, Vadi et al [78] compared trainee intubation times obtained using the GlideScope Cobalt VL, the Storz DCI VL and DL in young children with immobilized cervical spines and concluded that VL "may enhance best Cormack-Lehane glottic view during manual in-line cervical spine immobilization, but additional technical skills are needed to successfully complete tracheal intubation" and that "obtaining a grade 1 Cormack-Lehane glottic view was less likely" with DL.…”

Section: Glidescope Use In Infants and Childrenmentioning

confidence: 99%

The GlideScope Video Laryngoscope: A Narrative Review

Doyle¹

2017

TOATJ

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The GlideScope video laryngoscope has had a profound impact on clinical airway management by virtue of providing a glottic view superior to direct laryngoscopy. Since its introduction circa 2003, hundreds of studies have attested to its value in making clinical airway management easier and safer. This review will update the reader on the art and science of using the GlideScope videolaryngoscope in a variety of clinical settings and its relation to other airway management products. Topics covered include GlideScope design considerations, general usage tips, use in obese patients, use in pediatric patients, use as an adjunct to fiberoptic intubation, and other matters. Complications associated with the GlideScope are also discussed.

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Comparison of the GlideScope Cobalt® and Storz DCI® Video Laryngoscopes in Children Younger Than 2 Years of Age During Manual In-Line Stabilization

Cited by 19 publications

References 40 publications

Clinical Experience With the C-MAC and GlideScope in a Pediatric Emergency Department Over a 10-Year Period

Clinical Experience With the C-MAC and GlideScope in a Pediatric Emergency Department Over a 10-Year Period

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

The GlideScope Video Laryngoscope: A Narrative Review

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