Video laryngoscopy versus direct laryngoscopy for tracheal intubation during in-hospital cardiopulmonary resuscitation

Lee, Dong Yeol; Han, Myung Woul; An, Jun-Mo; Jung, Ji Young; Koh, Younsuck; Lim, Chae‐Man; Huh, Jin Won; Hong, Sang-Bum

doi:10.1016/j.resuscitation.2014.11.030

Cited by 54 publications

(50 citation statements)

References 12 publications

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“…The difference found was not significant (p = 0.2) (see Table 5). Fisher's exact test two-tailed P-value is 0.626777 Fisher's exact test two-tailed P-value is 0.4434 Endotracheal intubation during resuscitation is frequently associated with a difficult airway and shows FPS with VL, depending on the study, between 73% and 94%, even for experienced physicians (16,17). Most of the previous studies observing GVL during CPR investigated experienced physicians or were just simulation studies with mannequins (17,(23)(24)(25).…”

Section: Resultsmentioning

confidence: 99%

“…Comparison of the Success Rate on the 1st and 2nd Attempt Despite better visualization of the larynx with GVL, the first pass success FPS and the overall success rates for ETI were not improved compared with DL during CPR when performed by German paramedics. This may be due to less experience in handling a videolaryngoscope and infrequent opportunities for German paramedics to perform ETI in general.Previous investigations showed a significantly higher intubation success rate by inexperienced users during CPR with GVL than with DL(16,19). Lee et al investigated tracheal intubation during inhospital cardiopulmonary resuscitation(16).…”

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confidence: 99%

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Comparison of videolaryngoscopy and direct laryngoscopy by German paramedics during out-of-hospital cardiopulmonary resuscitation. An observational prospective study.

Risse

Volberg

Kratz

et al. 2020

Preprint

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Introduction: Videolaryngoscopy (VL) has become a popular method of intubation (ETI). Although VL may facilitate ETI in less-experienced rescuers there are limited data available concerning ETI performed by paramedics during CPR. The goal was to evaluate the impact VL compared with DL on intubation success and glottic view during CPR performed by German paramedics. We investigated in an observational prospective study the superiority of VL by paramedics during CPR compared with direct laryngoscopy (DL). Methods: In a single Emergency Medical Service (EMS) in Germany with in total 32ambulances paramedics underwent an initial instruction from in endotracheal intubation (ETI) with GlideScope ® (GVL) during resuscitation. The primary endpoint was good visibility of the glottis (Cormack-Lehane grading 1/2), and the secondary endpoint was successful intubation comparing GVL and DL.Results: In total n = 97 patients were included, n = 69 with DL (n = 85 intubation attempts) and n = 28 VL (n = 37 intubation attempts). Videolaryngoscopy resulted in a significantly improved visualization of the larynx compared with DL. In the group using GVL, 82% rated visualization of the glottis as CL 1&2 versus 55% in the DL group (p = 0.02). Despite better visualization of the larynx, there was no statistically significant difference in successful ETI between GVL and DL (GVL 75% vs. DL 68.1%, p = 0.63).Conclusions: We found no difference in Overall and First Pass Success (FPS) between GVL and DL during CPR by German paramedics despite better glottic visualization with GVL. Therefore, we conclude that education in VL should also focus on insertion of the endotracheal tube, considering the different procedures of GVL.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Comparison of videolaryngoscopy and direct laryngoscopy by German paramedics during out-of-hospital cardiopulmonary resuscitation. An observational prospective study.

Risse

Volberg

Kratz

et al. 2020

Preprint

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“…Several studies comparing videolaryngoscopy with direct laryngoscopy have demonstrated improved rates of first-attempt success in the operating room, emergency department, trauma unit, and simulation laboratory, as well as during active cardiopulmonary resuscitation [56][57][58][71][72][73][74][75][76][77][78][79][80]. Data comparing videolaryngoscopy with direct laryngoscopy on first-attempt success in the ICU are limited to a small number of observational studies [30,36,[81][82][83], a meta-analysis of those studies [10], and some randomized controlled trials [60,61].…”

Section: Bedside Procedures 20mentioning

confidence: 99%

Videolaryngoscopy in the Intensive Care Unit: We could Improve ICU Patients Safety

Hurtado¹,

Merchante²,

Ventura³

et al. 2018

Bedside Procedures

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Tracheal intubation is one of the most common and dangerous procedures in the intensive care units (ICU), and is usually done in more difficult conditions than in the operating room. Intubation failure can occur unexpectedly, and is the second most common event reflected in the ICU in the NAP4. Complications associated with airways were more likely to occur in ICU than in the operating room (severe hypoxemia, arrhythmia, hypotension, cardiovascular collapse, etc.), and generates more frequent damage to the patient. The theoretical benefits of videolaryngoscopes, as proper and correct use, offer the potential to reduce the difficulty of intubation in the ICU. In recent years, the role of videolaryngoscopes in ICU has been the subject of debate. Numerous studies have shown increased morbidity when performing multiple attempts at tracheal intubation. Videolaryngoscopes allow a view of the entrance of glottis independent of the line of sight, and have also been shown to improve glottis and intubation success rates in emergency and emergency services, in the prehospital setting, and specifically in patients with known predictors of difficult airway (DA).

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“…Videolaryngoscopes (VL) gained popularity in recent years due to high efficacy and short learning curve (5,6). These devices are widely used in the operating rooms, emergency departments, and the intensive care units (ICU) (7,8).…”

Section: Introductionmentioning

confidence: 99%

Effect of Jaw Thrust and BURP Maneuvers on Glottis Visualization During C-MAC® Videolaryngoscopy

Mohseni¹,

Siamdoust²,

Rokhtabnak³

et al. 2017

Ann Anesth Crit Care

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Background: Different techniques are proposed to improve glottis visualization during laryngoscopy, namely backward-upwardrightward pressure (BURP) and jaw trust; however, with controversial results. The current study aimed at comparing the maneuvers to elicit their efficacy for better glottis visualization in videolaryngoscopy (VL). Methods: In the current self-controlled, randomized, clinical trial, 104 patients candidate for elective surgery requiring endotracheal intubation were recruited. All participants underwent airway examination, thyromental distance (TMD), limited mouth opening, and head extension were recorded. Laryngoscopy was performed by a single anesthetist using C-MAC® (KARL STORZ, Germany) and a Macintosh blade, size 4. A second anesthetist applied BURP and jaw thrust maneuvers. For each patient 3 images were provided with and without a maneuver in the optimal view. The images were randomly coded. An anesthesiologist blinded to the codes and assignments scored images based on the Cormack-Lehane scoring system. Results: Both maneuvers significantly improved glottis visualization, but BURP rendered more promising effects. Gender-specific analyses yielded similar results. In subgroups of patients with limited head extension, TMD < 5 cm or limited mouth opening, the findings were significant. Conclusions: Both BURP and jaw thrust maneuvers resulted in better glottis visualization. Nevertheless, BURP may provide better conditions during laryngoscopy irrespective of airway parameters and should be attempted first.

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Video laryngoscopy versus direct laryngoscopy for tracheal intubation during in-hospital cardiopulmonary resuscitation

Cited by 54 publications

References 12 publications

Comparison of videolaryngoscopy and direct laryngoscopy by German paramedics during out-of-hospital cardiopulmonary resuscitation. An observational prospective study.

Comparison of videolaryngoscopy and direct laryngoscopy by German paramedics during out-of-hospital cardiopulmonary resuscitation. An observational prospective study.

Videolaryngoscopy in the Intensive Care Unit: We could Improve ICU Patients Safety

Effect of Jaw Thrust and BURP Maneuvers on Glottis Visualization During C-MAC® Videolaryngoscopy

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