Paediatric anaesthesia & critical care
Videolaryngoscopy and first-attempt tracheal intubation success in neonates and infants: a retrospective cohort study using the Japan Pediatric Difficult Airway in Anesthesia (J-PEDIA) registry
Main findingResult — go to the resultAdjusted relative risk 0.89 95% CI 0.83–0.96Authors' conclusion
VL use was associated with lower first-attempt tracheal intubation success and a higher risk of desaturation compared with direct laryngoscopy.
Study context
- Population
- Neonates and infants undergoing tracheal intubation in anaesthesia, Japan Pediatric Difficult Airway in Anesthesia (J-PEDIA) registry, June 2022–February 2025encounters analysed
- Participants
- 3,250 neonates
- Exposure
- Videolaryngoscopy (VL) vs Direct laryngoscopy
- Outcome
- First-attempt tracheal intubation success
Methodological detailsmulticentre registry, propensity score-based inverse probability of treatment weighting
- Multicentre registry
- Propensity score-based inverse probability of treatment weighting
Main finding
As reported in the abstract
Adjusted relative risk
0.89
95% CI 0.83–0.96
P = 0.001
VL vs Direct laryngoscopy
adjusted RR 0.89 (95% CI 0.83–0.96); P = 0.001
Observational data: associations, not effects.
Secondary outcomes
| Outcome | β (95% CI) | P value |
|---|---|---|
| Percentage of glottic opening score | 17.8 (9.5–26.1) | P < 0.001 |
Safety
| Outcome | Adjusted RR (95% CI) | P value | |
|---|---|---|---|
| DesaturationInverse probability of treatment weighting | 2.18 (1.57–2.79) | P < 0.001 | |
| 0.20.5125Adjusted relative risk (log scale) |
Respiratory adverse events
- Incidence similar between the groups
- adjusted risk ratio −0.09, 95% CI −0.012 to 0.0097, P=0.86
- Inverse probability of treatment weighting
Original publication
Videolaryngoscopy and first-attempt tracheal intubation success in neonates and infants: a retrospective cohort study using the Japan Pediatric Difficult Airway in Anesthesia (J-PEDIA) registry. Br J Anaesth. Published 23 September 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →