Airway management

Vie Scope® versus videolaryngoscopy in expected difficult airways: a randomized controlled trial

Can J AnaesthPublished Randomised controlled trial

Primary resultResult — go to the resultDifference in means 7 % 95% CI −9 to 23

Authors' conclusion

Visualization with the Vie Scope was noninferior to VL in patients with an anticipated difficult airway, but TTI was longer in the Vie Scope group.

Study context

Population
Patients undergoing elective ear, nose, and throat or oral and maxillofacial surgery with an anticipated difficult airwaytwo sets of 29 analysed
Participants
29 vs 29
Comparison
Vie Scope vs Macintosh videolaryngoscopy for tracheal intubation
  • Vie Scopen = 29
  • Videolaryngoscopy (VL)n = 29reference
Primary endpoint
Laryngeal visualization by percentage of glottis opening (POGO) scale
Methodological detailsprospective, noninferiority, 1:1 randomisation
  • Prospective
  • Noninferiority
  • 1:1 randomisation

Primary result

As reported in the abstract

Difference in means

7 %

95% CI −9 to 23

P = 0.38

By group

Vie Scope vs VL
difference in means 7 % (95% CI −9 to 23); P = 0.38

Secondary outcomes

Mean, sec

OutcomeVie ScopeVLDifference in means (sec) (95% CI)P value
Time to successful intubation (TTI)125 (SD 129)51 (SD 36)75 (25–124)P = 0.005

First-attempt success rate

Overall success rate

  • First-attempt success rate: 22/29 in both groups
  • Overall success rate: 27/29 in both groups

Switch to a different device

Patients switched to a different device, per group
2

Safety

Accidental esophageal intubation · presumably due to bougie misplacement — Vie Scope
4 events

Original publication

Vie Scope® versus videolaryngoscopy in expected difficult airways: a randomized controlled trial. Can J Anaesth. Published 3 August 2023. doi:10.1007/s12630-023-02534-y

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