Pediatric anesthesia & critical care
Video laryngoscopy vs. direct laryngoscopy in infants and neonates: A systematic review and meta-analysis
Pooled result · First-attempt success rateResult — go to the resultOR for first-attempt success 2.13Authors' conclusion
This meta-analysis suggests that VL may improve first-attempt success and glottic visualization and may reduce complications compared with DL in infants and neonates.
Study context
- Population
- Infants <1 year old and neonates (0–28 days old) undergoing endotracheal intubation
- Participants
- 1,918 infants · 17 randomized controlled trials (RCTs)
- Comparison
- Video laryngoscopy (VL) vs direct laryngoscopy (DL)
- Outcome
- First-attempt success rate
Methodological detailssubgroup analysis for neonates
- Subgroup analysis for neonates
Pooled result
As reported in the abstract
OR for first-attempt success
2.13
P < 0.001
By group
Further pooled results
First-attempt success rate, neonates (subgroup)
OR for first-attempt success 2.12 · P = 0.027
| Outcome | MD | P value |
|---|---|---|
| Time to best view | −2.85 | P < 0.01 |
| POGO scores | 16.8 | P < 0.01 |
| Time to intubation (TTI)No advantage of VL over DL | 0.79 | P = 0.49 |
Safety
Complications
OR 0.33 · P = 0.022
Original publication
Video laryngoscopy vs. direct laryngoscopy in infants and neonates: A systematic review and meta-analysis. J Clin Anesth. Published 25 September 2025. doi:10.
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