Comparison Between Direct and Video‐assisted Laryngoscopy for Intubations in a Pediatric Emergency Department

• DOI: 10.1111/acem.13015
• Publication Date: 2016-05-24T01:54:11Z
• Authors: Matthew A. Eisenberg; Israel Green‐Hopkins; Heidi Werner; Joshua Nagler
• Keywords: Male; Back; Adolescent; Laryngoscopy; Infant; Video-Assisted Surgery; Laryngoscopes; 3. Good health; 03 medical and health sciences; Logistic Models; 0302 clinical medicine; Child, Preschool; Intubation, Intratracheal; Odds Ratio; Humans; Female; Child; Emergency Service, Hospital; Retrospective Studies

The objective was to compare video-assisted laryngoscopy (VAL) direct (DL) on success rate and complication of intubations performed in a pediatric emergency department (ED).This is retrospective cohort study attempted children aged 0-18 years ED between 2004 2014 with first attempt by an provider. In VAL, the laryngoscopist attempts visualization glottis C-MAC video laryngoscope while monitor used for real-time guidance supervisor, back-up should view be inadequate, confirmation endotracheal tube passage through vocal cords. We univariate comparisons using DL VAL rates first-pass success, complications, whether patient successfully intubated then created logistic regression model adjust provider experience level, difficult airway characteristics, indications intubation each outcome.We identified 452 422 unique patients, which 445 had Six were excluded due insufficient information available record. Of included intubations, 240 (55%) 199 (45%) VAL. overall 71% group 72% group. After adjustment covariates, similar approaches (adjusted odds ratio = 1.23, 95% confidence interval 0.78 1.94).We found no difference regard rate, or successful providers undergoing ED.