Impact of universal use of a hyperangulated videolaryngoscope as the first option for all intubations in the ICU: A 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
| Outcome | Interventional period | Non-interventional period | P value |
|---|---|---|---|
| First-attempt success | — not stated in the abstract | 87.8% | 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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