Airway management

Implementation of video laryngoscopes and the development in airway management strategy and prevalence of difficult tracheal intubation: A national cohort study

Acta Anaesthesiol ScandPublished Retrospective cohort study

Authors' conclusion

From 2008 to 2016, a period of massive implementation of video laryngoscopes, a significant change in airway management behaviour was recorded.

Study context

Population
Tracheal intubations recorded 2008–2016 in the Danish Anaesthesia Database
Participants
822,259 tracheal intubation records
Exposure
Airway management by year of observation, 2008 vs 2016
Outcome
Development in use of video laryngoscopy and its impact on airway planning and management
Methodological detailsnational registry (Danish Anaesthesia Database), multivariate logistic regression
  • National registry (Danish Anaesthesia Database)
  • Multivariate logistic regression

Main finding

As reported in the abstract

Advanced technique successfully used within two attempts (predominantly video laryngoscopy)

P < 0.0001

Observational data: associations, not effects.

Further findings

Intubations scheduled for video laryngoscopy

P < 0.0001

Anticipated difficult intubation by direct laryngoscopy

P < 0.0001

Safety

Failed tracheal intubation

P < 0.0001

Original publication

Implementation of video laryngoscopes and the development in airway management strategy and prevalence of difficult tracheal intubation: A national cohort study. Acta Anaesthesiol Scand. Published 8 November 2022. doi:10.1111/aas.14165

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