Comparison of Video Laryngoscopy and Direct Laryngoscopy in a Critical Care Transport Service

Abstract

VL using the C-MAC video laryngoscope did not reduce the total number of airway attempts or improve intubation compared with DL in a system of highly trained providers.

GlideScope vs. C-MAC for Awake Upright Laryngoscopy

“…Visualization of the glottis is often cited as a key step in the intubation process, however, while video laryngoscopy has improved the view of the glottis, it has not always resulted in greater intubation success (13)(14)(15). While Silverton et al demonstrated, and we have confirmed, that video laryngoscopes can provide excellent views of the glottis, to our knowledge an awake, upright intubation in the face-to-face position has not yet been performed on living subjects (8).…”

Comparison of factors associated with desaturation in prehospital emergency anaesthesia in primary and secondary retrievals

“…Hospital studies using video laryngoscopes have demonstrated an improvement in the grade of laryngoscope view and success at first intubation in patients deemed to have difficult airways 15 16. However, studies looking at the use of indirect and video laryngoscopes in the prehospital environments have shown mixed results with evidence of improved laryngoscopic view but no improvement or in first pass success rates 17 18. Therefore, it is difficult to clearly establish the role of videolaryngoscopy in the prehospital setting.…”

EMS Intubation Improves with King Vision Video Laryngoscopy

“…14 Studies from systems with experienced paramedics and high baseline success rates have shown little to no benefit of VL vs. DL but this has not been evaluated in an EMS system with inexperienced (low annual intubation rates) and low baseline success rates. 12,15 The King Vision VL (Ambu. Ballerup, Denmark) is a device utilizing a color display with an attached reusable blade.…”