Successful Airtraq Use in an Air Medical Transport System

Selde, William; English, Kyle; Heffelfinger, Matthew; Eichel, Jan; Ekblad, Glenn

doi:10.1016/j.amj.2014.07.003

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…(2011 and 2016 studies) were obtained by contacting study authors (Table ). Clarification of first‐pass success results by Selde et al . were also obtained by contacting authors.…”

Section: Methodsmentioning

confidence: 67%

“…These data were readily available and collected during the initial study time frames, but not reported. One paper (Selde et al …”

Section: Resultsmentioning

confidence: 99%

“…used a nonrandomized process, choosing specific helicopters to employ the video devices based on the frequency of intubations performed at each site. Wayne and McDonnell, Selde et al., Boehringer et al., and Jarvis et al . all used an observational, retrospective design.…”

Section: Limitationsmentioning

confidence: 99%

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Direct Versus Video Laryngoscopy for Prehospital Intubation: A Systematic Review and Meta‐analysis

Savino

Reichelderfer

Mercer

et al. 2017

Academic Emergency Medicine

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Objectives: The use of video laryngoscopy (VL) for intubation has gained recent popularity. In the prehospital setting, it is unclear if VL increases intubation success rates compared to direct laryngoscopy (DL). We sought to conduct a systematic review and meta-analysis of studies comparing VL to DL in the prehospital setting to determine whether the use of VL increases overall and first-pass endotracheal intubation success rates compared to DL.Methods: A systematic search was performed of the PubMed, Embase, and SCOPUS databases through May 2016 to include studies comparing overall and first-pass success for VL versus DL in patients requiring intubation in the prehospital setting. Data were abstracted by two reviewers. A meta-analysis was performed using a random-effects model. Results:Of a potential 472 articles, eight eligible studies were included. Considerable heterogeneity (I 2 > 90%) precluded reporting an overall pooled estimate across all studies. When stratified by provider type, the pooled estimates for overall intubation success using VL versus DL were a risk ratio (RR) of 0.05 (95% confidence interval [CI] = 0.01-0.18) in studies of physicians and RR = 2.28 (95% CI = 1.00-5.20) in nonphysicians. For firstpass intubation success the pooled RR estimates for using VL versus DL were 0.32 (95% CI = 0.23-0.44) and 1.83 (95% CI = 1.18-2.84) among studies using physicians and nonphysicians, respectively. There was moderate to significant heterogeneity between studies when stratified by provider.Conclusions: Among physician intubators with significant DL experience, VL does not increase overall or firstpass success rates and may lead to worsening performance. However, among nonphysician intubators with less experience with DL, VL may provide benefit in the prehospital setting.

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“…(2011 and 2016 studies) were obtained by contacting study authors (Table ). Clarification of first‐pass success results by Selde et al . were also obtained by contacting authors.…”

Section: Methodsmentioning

confidence: 67%

“…These data were readily available and collected during the initial study time frames, but not reported. One paper (Selde et al …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Direct Versus Video Laryngoscopy for Prehospital Intubation: A Systematic Review and Meta‐analysis

Savino

Reichelderfer

Mercer

et al. 2017

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…There were 12 studies with 8706 intubations conducted in the ED 8,13,22,24e26,28,33,36,38,41,44 ; 7 studies including 2231 intubations in the pre-hospital setting 23,29,39,40,43,46,47 ; 10 studies with 2737 intubations in the ICU 4e6,27,30e32, 34,35,37 ; and 3 studies with 1390 intubations that were emergently intubated in the hospital outside of the operating room, ICU, or ED 21,42,45 (Fig. 2).…”

Section: Rate Of First-pass Intubation By Locationmentioning

confidence: 99%

“…1). Other studies used further VL devices, such as the Airtraq ® , 39,46 Airway Scope ® , 23 McGRATH ® , 6,27 or a combination of different videolaryngoscopes. Because of the small number of studies using the Airtraq, Airway Scope, or McGRATH, we did not include them in this subgroup analysis.…”

Section: Type Of Vl Usedmentioning

confidence: 99%

Videolaryngoscopy versus direct laryngoscopy for emergency orotracheal intubation outside the operating room: a systematic review and meta-analysis

Arulkumaran

Lowe

Ions

et al. 2018

British Journal of Anaesthesia

136

103

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Videolaryngoscopy (VL) may improve the success of orotracheal intubation compared with direct laryngoscopy (DL). We performed a systematic search of PubMed, Embase, and CENTRAL databases for studies comparing VL and DL for emergency orotracheal intubations outside the operating room. The primary outcome was rate of first-pass intubation, with subgroup analyses by location, device used, clinician experience, and clinical scenario. The secondary outcome was complication rates. Data are presented as [odds ratio (95% confidence intervals); P-values]. We identified 32 studies with 15 064 emergency intubations. There was no difference in first-pass intubation with VL compared with DL [OR=1.28, (0.99-1.65); P=0.06]. First-pass intubations were increased with VL compared with DL in the intensive care unit (ICU) [2.02 (1.43-2.85); P<0.001], and similar in the emergency department or pre-hospital setting. First-pass intubations were similar with GlideScope, but improved with the CMAC [1.32 (1.08-1.62); P=0.007] compared with DL. There was greater first-pass intubation with VL compared with DL amongst novice/trainee clinicians [OR=1.95 (1.45-2.64); P<0.001], but not amongst experienced clinicians or paramedics/nurses. There was no difference in first-pass intubation with VL compared with DL during cardiopulmonary resuscitation or trauma. VL compared with DL was associated with fewer oesophageal intubations [OR=0.32 (0.14-0.70); P=0.003], but more arterial hypotension [OR=1.49 (1.00-2.23); P=0.05]. In summary, VL compared with DL is associated with greater first-pass emergency intubation in the ICU and amongst less experienced clinicians, and reduces oesophageal intubations. However, VL is associated with greater incidence of arterial hypotension. Further trials investigating the utility of VL over DL in specific situations are required.

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Predictive and protective factors for failing first pass intubation in prehospital rapid sequence intubation: an aetiology and risk systematic review with meta-analysis

Hayes-Bradley,

McCreery,

Delorenzo

et al. 2024

British Journal of Anaesthesia

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Successful Airtraq Use in an Air Medical Transport System

Cited by 6 publications

References 8 publications

Direct Versus Video Laryngoscopy for Prehospital Intubation: A Systematic Review and Meta‐analysis

Direct Versus Video Laryngoscopy for Prehospital Intubation: A Systematic Review and Meta‐analysis

Videolaryngoscopy versus direct laryngoscopy for emergency orotracheal intubation outside the operating room: a systematic review and meta-analysis

Predictive and protective factors for failing first pass intubation in prehospital rapid sequence intubation: an aetiology and risk systematic review with meta-analysis

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