Similar Success with Direct and Video Laryngoscopy for Novices Intubating Critically Ill Patients

In this pilot study, 40 critically ill patients were randomized to intubation with direct laryngoscopy or GlideScope video laryngoscopy by novice operators (mostly internal medicine residents) who had completed a 1-hour didactic and mannequin session. Patients with cervical spine precautions, anticipated or prior difficult intubation, previous cardiac arrest, cardiopulmonary instability (systolic blood pressure <80 mm Hg or oxygen saturation <90%), or need for immediate or awake intubation were excluded.

Baseline demographic and clinical characteristics were similar between groups. Most patients were intubated for respiratory failure (60%) or altered mentation (20%). All intubations were successful. More than one attempt was required in 63% …