In this meta-analysis, the GlideScope also was associated with faster intubation times and higher first-attempt success rates among nonexpert operators.
Researchers performed a meta-analysis of randomized studies that compared the GlideScope video laryngoscope with direct laryngoscopy regarding glottic view, first-attempt intubation success rates, and intubation times in adult patients. Seventeen studies involving a total of 1998 patients were included in the analysis.
Glottic view (Cormack-Lehane grade I vs. ≥ grade II) was better with the GlideScope than with direct laryngoscopy overall (relative risk, 2.0) and for nondifficult intubations (RR, 1.5) and simulated difficult intubations (manual in-line stabilization; RR, 3.5). Among nonexpert operators, the rate of first-attempt intubation success was higher (RR, 1.8), and intubation time was faster (weighted mean difference, 43 seconds) wit…
Reviewing Authors
DisclosuresSpeaker’s bureauAirway Management Education Center
DisclosuresSpeaker’s bureauAirway Management Education Center
DisclosuresSpeaker's bureauAirway Management Education Center, LLC
EquityAirway Management Education Center, LLC
Grant / Research supportAgency for Health Care Research and Quality
Editorial boardsManual of Emergency Airway Management; Rosen's Emergency Medicine; UpToDate; Scientific American Medicine
Leadership positions in professional societiesAssociation of Academic Chairs in Emergency Medicine (President)
DisclosuresSpeaker's bureauAirway Management Education Center, LLC
EquityAirway Management Education Center, LLC
Grant / Research supportAgency for Health Care Research and Quality
Editorial boardsManual of Emergency Airway Management; Rosen's Emergency Medicine; UpToDate; Scientific American Medicine
Leadership positions in professional societiesAssociation of Academic Chairs in Emergency Medicine (President)