scholarly journals COMPARATIVE ASSESSMENT OF HAEMODYNAMIC RESPONSE TO LARYNGOSCOPY AND INTUBATION USING MACINTOSH DIRECT LARYNGOSCOPE AND VIDEO LARYNGOSCOPE FOR NASOTRACHEAL INTUBATION

2018 ◽  
Vol 7 (19) ◽  
pp. 2372-2374
Author(s):  
Alok Pratap Singh ◽  
Pooja Chapegadikar ◽  
Rajeev Dwivedi ◽  
Arvind Rathiya ◽  
Sudhakar Dwivedi
Keyword(s):  
Nasotracheal Intubation ◽  
Comparative Assessment ◽  
Video Laryngoscope ◽  
Haemodynamic Response ◽  
Direct Laryngoscope

scholarly journals A Comparison of the C-MAC Video Laryngoscope to the Macintosh Direct Laryngoscope for Intubation in the Emergency Department

2012 ◽  
Vol 60 (6) ◽  
pp. 739-748 ◽  
Author(s):  
John C. Sakles ◽  
Jarrod Mosier ◽  
Stephen Chiu ◽  
Mari Cosentino ◽  
Leah Kalin
Keyword(s):  
Emergency Department ◽  
Video Laryngoscope ◽  
Direct Laryngoscope

scholarly journals Comparison of videolaryngoscope & direct laryngoscope for intubation in critically ill patients: A Bayesian meta-analysis

2020 ◽  
Author(s):  
Souvik Maitra ◽  
Anirban Som ◽  
Sulagna Bhattacharjee
Keyword(s):  
Bayesian Model ◽  
Observational Studies ◽  
Meta Analysis ◽  
Credible Interval ◽  
Video Laryngoscope ◽  
Bayesian Methodology ◽  
Direct Laryngoscope ◽  
Randomized Controlled ◽  
Intubation Success ◽  
Intubation Success Rate

AbstractPurposeTo identify the benefit of video laryngoscope (VL) over direct laryngoscope (DL) for intubation in the intensive care unit (ICU)Material & MethodsRandomized controlled trials (RCTs) comparing VL with DL for intubation in ICU by was conducted in conventional frequentist methodology and also incorporated of the previous evidences from observational studies in Bayesian methodology.ResultsData of 1464 patients from six RCTs have been included in this meta-analysis. In conventional meta-analysis of RCTs, first attempt intubation success rate was similar between VL and DL group [p=0.39]. Rate of esophageal intubation was significantly less with VL [p=0.03] and glottic visualization was significantly improved with VL in comparison to DL [p=0.009]. Time to intubation was similar in both the group [p=0.48]. When evidences from a meta-analysis of observational studies incorporated in Bayesian model, first attempt intubation success is significantly higher with VL [posterior median log OR (95% credible interval) 0.50 (0.06, 1.00)].ConclusionEvidences from both observational studies and RCTs synthesized in Bayesian methodology suggest that use of VL for endotracheal intubation in critically patients may be associated with higher first intubation success when compared to DL.

scholarly journals First attempt success of video versus direct laryngoscopy for endotracheal intubation by ambulance nurses: a prospective observational study

2020 ◽  
Vol 46 (5) ◽  
pp. 1039-1045 ◽  
Author(s):  
Wim Breeman ◽  
Mark G. Van Vledder ◽  
Michael H. J. Verhofstad ◽  
Albert Visser ◽  
Esther M. M. Van Lieshout
Keyword(s):  
Success Rate ◽  
Endotracheal Intubation ◽  
Direct Laryngoscopy ◽  
Prospective Observational Study ◽  
Primary Outcome ◽  
Spontaneous Circulation ◽  
Video Laryngoscope ◽  
Video Laryngoscopy ◽  
Direct Laryngoscope ◽  
Positive Effect

Abstract Purpose The aim of this study was to compare the rate of first attempt success of endotracheal intubation performed by ambulance nurses in patients with a Glasgow Coma Scale (GCS)  of 3 using video laryngoscopy versus direct laryngoscopy. Methods A prospective cohort study was conducted in a single, independent ambulance service. Twenty of a total of 65 nurse-staffed ambulances were equipped with a video laryngoscope; a classic direct laryngoscope (Macintosh) was available on all 65 ambulances. The primary outcome was first attempt success of the intubation. Secondary outcomes were overall success, time needed for intubation, adverse events, technical or environmental issues encountered, and return of spontaneous circulation (ROSC). Ambulance nurses were asked if the intubation device had affected the outcome of the intubation. Results The first attempt success rate in the video laryngoscopy group [53 of 93 attempts (57%)] did not differ from that in the direct laryngoscopy group [61 of 126 (48%); p = 0.221]. However, the second attempt success rate was higher in the video laryngoscopy group [77/93 (83%) versus 80/126 (63%), p = 0.002]. The median time needed for the intubation (53 versus 56 s) was similar in both groups. Ambulance nurses more often expected a positive effect when performing endotracheal intubation with a video laryngoscope (n = 72, 81%) compared with a direct laryngoscope (n = 49, 52%; p < 0.001). Conclusion Although no significant effect on the first attempt success was found, video laryngoscopy did increase the overall success rate. Ambulance nurses had a more positive valuation of the video laryngoscope with respect to success chances.

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