Pediatric anesthesia & critical care
Airway Management Practices and Outcomes Over Time in Neonates and Young Infants Presenting for Cardiac Procedures
Authors' conclusion
Use of SVL increased over the study period and was associated with a higher first-attempt success rate and a lower incidence of difficult intubation.
Study context
- Population
- Neonates and infants <2 months old requiring tracheal intubation for cardiac intervention, single academic quaternary children's hospital, August 2012–May 2024
- Participants
- 2,308 anesthetics
- Exposure
- SVL vs Direct laryngoscopy
- SVLn = 918
- Direct laryngoscopyn = 1,371reference
- Outcome
- First-attempt tracheal intubation success rate and incidence of difficult intubation
Methodological detailsobservational, single-centre
- Observational
- Single-centre
Main finding
As reported in the abstract
First-attempt tracheal intubation success rate
81.2%
1,875/2,308; 95% CI 79.6%–82.8%
Difficult intubation
3.9%
89/2,308; 95% CI 3.2%–4.8%
Observational data: associations, not effects.
Further findings
First-attempt success rate by technique
P < 0.001
Difficult intubation by technique
P = 0.002
| Outcome | P value |
|---|---|
| Use of SVL over time2018-2024 vs 2012-2017 | P < 0.001 |
- Use of SVL over time: 2012-2017 4.8%
- Use of SVL over time: 2018-2024 71.0%
Original publication
Airway Management Practices and Outcomes Over Time in Neonates and Young Infants Presenting for Cardiac Procedures. J Cardiothorac Vasc Anesth. Published 7 December 2025. doi:10.
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