دورية أكاديمية
أعرض في EDS

Video laryngoscopy versus direct laryngoscopy in achieving successful emergency endotracheal intubations: a systematic review and meta-analysis of randomized controlled trials.

التفاصيل البيبلوغرافية
العنوان: Video laryngoscopy versus direct laryngoscopy in achieving successful emergency endotracheal intubations: a systematic review and meta-analysis of randomized controlled trials.
المؤلفون: Alsabri M; Department of Emergency Medicine, Al-Thawra Modern General Teaching Hospital, Sana'a City, Yemen. Alsabri5000@gmail.com., Abdelwahab OA; Faculty of Medicine, Al-Azhar University, Cairo, Egypt. omar3240109@gmail.com., Elsnhory AB; Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Diab RA; Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Sabesan V; Government Kilpauk Medical College and Hospital, Chennai, India., Ayyan M; King Edward Medical University, Lahore, Pakistan., McClean C; Virginia Commonwealth University Health System, Richmond, USA., Alhadheri A; Michigan State University College of Osteopathic Medicine, East Lansing, USA.
المصدر: Systematic reviews [Syst Rev] 2024 Mar 12; Vol. 13 (1), pp. 85. Date of Electronic Publication: 2024 Mar 12.
نوع المنشور: Journal Article; Systematic Review; Meta-Analysis; Comparative Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101580575 Publication Model: Electronic Cited Medium: Internet ISSN: 2046-4053 (Electronic) Linking ISSN: 20464053 NLM ISO Abbreviation: Syst Rev
أسماء مطبوعة: Original Publication: London : BioMed Central
مواضيع طبية MeSH: Intubation, Intratracheal*/methods , Laryngoscopy*/methods , Randomized Controlled Trials as Topic*, Humans ; Video-Assisted Techniques and Procedures
مستخلص: Background: Intubating a patient in an emergent setting presents significant challenges compared to planned intubation in an operating room. This study aims to compare video laryngoscopy versus direct laryngoscopy in achieving successful endotracheal intubation on the first attempt in emergency intubations, irrespective of the clinical setting.
Methods: We systematically searched PubMed, Scopus, Web of Science, and the Cochrane Central Register of Controlled Trials from inception until 27 February 2023. We included only randomized controlled trials that included patients who had undergone emergent endotracheal intubation for any indication, regardless of the clinical setting. We used the Cochrane risk-of-bias assessment tool 2 (ROB2) to assess the included studies. We used the mean difference (MD) and risk ratio (RR), with the corresponding 95% confidence interval (CI), to pool the continuous and dichotomous variables, respectively.
Results: Fourteen studies were included with a total of 2470 patients. The overall analysis favored video laryngoscopy over direct laryngoscopy in first-attempt success rate (RR = 1.09, 95% CI [1.02, 1.18], P = 0.02), first-attempt intubation time (MD =  - 6.92, 95% CI [- 12.86, - 0.99], P = 0.02), intubation difficulty score (MD =  - 0.62, 95% CI [- 0.86, - 0.37], P < 0.001), peri-intubation percentage of glottis opening (MD = 24.91, 95% CI [11.18, 38.64], P < 0.001), upper airway injuries (RR = 0.15, 95% CI [0.04, 0.56], P = 0.005), and esophageal intubation (RR = 0.37, 95% CI [0.15, 0.94], P = 0.04). However, no difference between the two groups was found regarding the overall intubation success rate (P > 0.05).
Conclusion: In emergency intubations, video laryngoscopy is preferred to direct laryngoscopy in achieving successful intubation on the first attempt and was associated with a lower incidence of complications.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Direct laryngoscope; Emergent airway; Emergent intubation; Endotracheal intubation; First-attempt success; Video laryngoscopy
تواريخ الأحداث: Date Created: 20240313 Date Completed: 20240807 Latest Revision: 20240807
رمز التحديث: 20240808
مُعرف محوري في PubMed: PMC10935931
DOI: 10.1186/s13643-024-02500-9
PMID: 38475918
قاعدة البيانات: MEDLINE
الوصف
تدمد:2046-4053
DOI:10.1186/s13643-024-02500-9