Implementation of Universal Videolaryngoscopy and development of intubation database accessed via a smart phone app

Kelly, F. E.; Penders, Robert; Hughes, J. Carl; Craft, Tim; Damen, C.; Pressey, Michael; Bull, Judy; Cook, Tim

doi:10.1016/j.tacc.2019.12.370

Cited by 2 publications

(4 citation statements)

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“…Of the initial 526 unique article citations identified by the search strategy, 35 case reports and series, seven cross-sectional studies, [56][57][58][59][60][61][62] one cohort study, 63 one crossover study, 64 and four RCTs fulfilled our inclusion criteria. [65][66][67][68] Details of the screening process are illustrated in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…In one comparative study, after discussions and staff training, a decision was made to change from direct laryngoscopy to first-line universal videolaryngoscopy with the GlideScope in all operating rooms, including obstetrics. 61 Support from the anesthetic department for this paradigm shift in intubation technique increased from 33% prior to the trial phase to 100% 30 months later. The benefits reported included better training for anesthetic assistants and trainees, improved communication and human factors and, importantly, no reported requirement for cricothyroidotomy since 2014.…”

Section: Resultsmentioning

confidence: 99%

“…Indeed, one hospital that introduced videolaryngoscopes in all clinical areas reported that the requirement for emergency front of neck access reduced from one to two patients per year to none over five years. 61 Interestingly, in a decision analysis, rapid sequence induction in conjunction with videolaryngoscopy in the context of a category one emergency Cesarean delivery for a patient with anticipated difficult tracheal intubation was shown to be associated with a failure rate of 21 per 100,000 and a shorter time to successful readiness to surgery relative to awake tracheal intubation. 75 Most of our findings are consistent with those of prior systematic reviews including either exclusively or mainly non-obstetric patients.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of videolaryngoscopy and direct laryngoscopy for tracheal intubation in obstetrics: a mixed-methods systematic review and meta-analysis

Howle

Onwochei

Harrison

et al. 2021

Can J Anesth/J Can Anesth

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The incidence of difficult and failed intubation is higher in obstetrical patients than in the general population because of anatomic and physiologic changes in pregnancy. Videolaryngoscopy improves the success rate of intubation and reduces complications when compared with direct laryngoscopy in adults; however, it is not known whether this extends to obstetrical surgery. The aim of this study was to examine the efficacy, efficiency, and safety of videolaryngoscopy compared with direct laryngoscopy in obstetrics. Source Central, CINAHL, Embase, MEDLINE and Web of Science databases were searched from inception to 27 May 2020 with no restrictions. Inclusion criteria included randomized-controlled trials (RCTs), observational studies, case series, and case reports that reported the application of videolaryngoscopy to intubate the trachea in pregnant patients having general anesthesia. Principal findings Overall, four RCTs with 428 participants, nine observational studies, and 35 case reports/series with 100 participants were included. On meta-analysis of three trials, the co-primary outcomes of first-attempt success rate (risk ratio, 1.02; 95% confidence intervals [CI], 0.98 to 1.06; P = 0.29; I 2 = 0%) and time to tracheal intubation (mean difference, 1.20 sec; 95% CI,-6.63 to 9.04; P = 0.76; I 2 = 95%) demonstrated no difference between videolaryngoscopy and direct laryngoscopy in parturients without difficult airways. Observational studies and case reports underline the role of videolaryngoscopy as a primary choice when difficulty with tracheal intubation is expected or as a rescue modality in difficult or failed intubations. Conclusions Evidence for the utility of videolaryngoscopy continues to evolve but supports its increased adoption in obstetrics where videolaryngoscopes should be immediately available for use as a first-line device. Trial registration PROSPERO (CRD42020189521); registered

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of videolaryngoscopy and direct laryngoscopy for tracheal intubation in obstetrics: a mixed-methods systematic review and meta-analysis

Howle

Onwochei

Harrison

et al. 2021

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…The Cormack-Lehane system is intuitive and simple; just four grades, all reflecting a particular unnuanced view. The truth is that the Cormack-Lehane score is probably sufficient for verbal or written communication; however, we now have the opportunity to adopt an improved communication method that has been staring us in the face for some time: videolaryngoscopy itself [21]. If a picture speaks a thousand words, a video speaks a thousand pictures.…”

mentioning

confidence: 99%