Cardiothoracic & vascular anesthesia

Videolaryngoscope versus conventional technique for insertion of a transesophageal echocardiography probe in intubated ICU patients (VIDLARECO trial): A randomized clinical trial

Anaesth Crit Care Pain MedPublished Randomised controlled trial

Primary resultResult — go to the resultAbsolute difference 32% 95% CI 16%–48%

Authors' conclusion

Our study showed that in intubated critically ill patients required transesophageal echocardiogram, the use of videolaryngoscope resulted in higher successful insertion on the first attempt with lower rate of complications when compared with the conventional insertion technique.

Study context

Population
Intubated critically ill ICU patients requiring TEE
Participants
100 patients
Comparison
Videolaryngoscope vs conventional technique for TEE probe insertion
Primary endpoint
Successful TEE probe insertion on the first attempt

Primary result

As reported in the abstract

Absolute difference

32%

95% CI 16%–48%

P < 0.001

By group

Videolaryngoscope vs Conventional
absolute difference 32% (95% CI 16%–48%); P < 0.001

Secondary outcomes

OutcomeVideolaryngoscopeConventionalAbsolute difference (95% CI)P value
Overall success rate100%72%28% (16%–40%)P < 0.001

Safety

OutcomeVideolaryngoscopeConventionalAbsolute difference (95% CI)P value
Pharyngeal mucosal injuryLower in the videolaryngoscope group14%52%38% (21%–55%)P < 0.001

Original publication

Videolaryngoscope versus conventional technique for insertion of a transesophageal echocardiography probe in intubated ICU patients (VIDLARECO trial): A randomized clinical trial. Anaesth Crit Care Pain Med. Published 24 January 2024. doi:10.1016/j.accpm.2024.101346

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