Cardiac arrest & resuscitation

Video vs Direct Laryngoscopy for Tracheal Intubation After Cardiac Arrest: A Secondary Analysis of the Direct vs Video Laryngoscope Trial

ChestPublished Secondary analysis of the DEVICE randomised trial

Primary resultResult — go to the resultAbsolute risk difference 18.7 percentage points 95% CI 1.2–36.2

Authors' conclusion

Among adults undergoing tracheal intubation after experiencing cardiac arrest, use of video laryngoscopy was associated with increased incidence of successful intubation on the first attempt and shortened duration of laryngoscopy, compared with use of direct laryngoscopy.

Study context

Population
Adults undergoing tracheal intubation after cardiac arrestof 1,417 in DEVICE trial
Participants
113 adults
Comparison
Video vs direct laryngoscopy
  • Video laryngoscopyn = 48
  • Direct laryngoscopyn = 65reference
Primary endpoint
Successful intubation on the first attempt
Methodological detailssubgroup analysis
  • Subgroup analysis

Primary result

As reported in the abstract

Absolute risk difference

18.7 percentage points

95% CI 1.2–36.2

P = 0.03

Events by treatment group

Video laryngoscopy vs Direct laryngoscopy
absolute risk difference 18.7 percentage points (95% CI 1.2–36.2); P = 0.03

Further findings

Mean, seconds

OutcomeVideo laryngoscopyDirect laryngoscopyMean difference (seconds) (95% CI)P value
Duration of laryngoscopy48.0 (SD 37.3)98.0 (SD 122.4)−50.0 (−86.8 to −13.3)P = 0.004

Original publication

Video vs Direct Laryngoscopy for Tracheal Intubation After Cardiac Arrest: A Secondary Analysis of the Direct vs Video Laryngoscope Trial. Chest. Published 11 January 2025. doi:10.1016/j.chest.2024.12.031

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.