Direct vs. Video Laryngoscopy: Which Has Better Success in Children?

This analysis of registry data showed that intubation attempts with video laryngoscopy yielded higher first-pass success rates.

Direct laryngoscopy (DL) has been the historical standard for pediatric airway management, in part due to a paucity of data on video laryngoscopy (VL) in this population. In adults, studies show an advantage of VL over DL. In the current study, researchers used data from the National Emergency Airway Registry (NEAR) to compare success rates of DL and VL in pediatric patients while controlling for predictors of difficult airways.

The analysis included 625 pediatric intubations (47% DL, 53% VL) at 23 sites. First-pass success was significantly higher in the VL group (84.0% vs. 74.5%). Multivariable regression controlling for confounders and difficult airway characteristics showed that odds of first-attempt success were higher with VL than DL, …

Reviewing Author

Lauren M. Westafer, DO, MPH, MS

Disclosures

Grant/Research SupportNational Heart, Lung, and Blood Institute

Editorial BoardsAnnals of Emergency Medicine

Leadership Positions in Professional SocietiesAcademy for Academic Women in Emergency Medicine (Social Media Chair)

Lauren M. Westafer, DO, MPH, MS

Disclosures

Grant/Research SupportNational Heart, Lung, and Blood Institute

Editorial BoardsAnnals of Emergency Medicine

Leadership Positions in Professional SocietiesAcademy for Academic Women in Emergency Medicine (Social Media Chair)

Direct vs. Video Laryngoscopy: Which Has Better Success in Children?

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Reviewing Author