Airway management

Impact of universal use of a hyperangulated videolaryngoscope as the first option for all intubations in the ICU: A prospective before-after study

Anaesth Crit Care Pain MedPublished Prospective before-after study

Authors' conclusion

"Universal" use of hyperangulated videolaryngoscopy for tracheal intubation in patients admitted in ICU improves the percentage of easy intubation compared to direct laryngoscopy.

Study context

Population
ICU patients undergoing tracheal intubation
Participants
407 patients
Exposure
Interventional period vs Non-interventional period
  • Interventional periodn = 134
  • Non-interventional periodn = 273reference
Outcome
Easy intubation (first-attempt intubation and modified Cormack-Lehane glottic view I-IIa)

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Secondary outcomes

Difficult laryngoscopy

P < 0.001

Moderate and severe technical difficulty of intubation

P < 0.001

OutcomeInterventional periodNon-interventional periodP value
First-attempt success— not stated in the abstract87.8%P = 0.147

— not stated in the abstract

Safety

Complications

No significant difference between both periods

Original publication

Impact of universal use of a hyperangulated videolaryngoscope as the first option for all intubations in the ICU: A prospective before-after study. Anaesth Crit Care Pain Med. Published 2 July 2024. doi:10.1016/j.accpm.2024.101402

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