Pediatric anesthesia & critical care
Effectiveness of McGRATH MAC Video Laryngoscopy for First-Attempt Intubation by Anesthesia Trainees in Infants: A Randomized Controlled Trial
Primary resultResult — go to the resultRisk difference 16.5% 95% CI 3.0%–29.9%Authors' conclusion
The McGrath VL significantly improves first-attempt intubation success in infants when used by anesthesia trainees, especially among less experienced providers.
Study context
- Population
- Infants (<1-year-old) scheduled for elective surgery requiring orotracheal intubation, intubated by supervised anesthesia trainees
- Participants
- 124 infants
- Comparison
- McGrath VL vs direct laryngoscopy (DL) by anesthesia trainees
- McGrath VLn = 61
- DLn = 63reference
- Primary endpoint
- First-attempt intubation success rate
Methodological detailssingle-centre, parallel-group, Enrolled October 2021–February 2024
- Single-centre
- Parallel-group
- Enrolled October 2021–February 2024
Primary result
As reported in the abstract
Risk difference
16.5%
95% CI 3.0%–29.9%
P = 0.026
Events by treatment group
McGrath VL vs DL
risk difference 16.5% (95% CI 3.0%–29.9%); P = 0.026
Secondary outcomes
| Outcome | McGrath VL | DL | Risk difference (95% CI) | |
|---|---|---|---|---|
| Intubation Difficulty Score of 0 | 49.2% | 31.7% | 18.9% (0.6%–37.2%) | |
| Percentage of Glottic Opening score of 100% | 60.7% | 36.5% | 22.1% (6.2%–37.9%) | |
| −2002040Difference (linear scale) |
Safety
| Outcome | McGrath VL | DL | Risk difference (95% CI) | |
|---|---|---|---|---|
| Overall intubation-related complicationsDid not differ significantly | 8.2% | 11.1% | −4.1% (−14.7%-6.4%) | |
| −20−10010Difference (linear scale) |
Esophageal intubation
Original publication
Effectiveness of McGRATH MAC Video Laryngoscopy for First-Attempt Intubation by Anesthesia Trainees in Infants: A Randomized Controlled Trial. Anesth Analg. Published 16 February 2026. doi:10.
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