The Efficacy of GlideScope Video Laryngoscopy Compared with Direct Laryngoscopy in Children
Who Are Difficult to Intubate: An Analysis from the Pediatric Difficult Intubation Registry
Park, R., et al. “The efficacy of GlideScope videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry.” BJA: British Journal of Anaesthesia 119.5 (2017): 984-992.
Clinical Summary of IR. Park, J. M. Peyton, J. E. Fiadjoe, A. I. Hunyady, T. Kimball, D. Zurakowski, and P. G. Kovatsis BJA: British Journal of Anaesthesia 119.5 (2017): 984-992
At a Glance
Data were analyzed from the Pediatric Difficult Intubation Registry examining the use of direct laryngoscopy and GlideScope® video laryngoscopy. During difficult tracheal intubation in children, GlideScope use was associated with a higher chance of success with no increased risk of complications.
13x Higher First Pass Success Rate with GlideScope®1
Study Design
- Data collected, by the Pediatric Difficult Intubation Registry, from 1295 patients was analyzed
- Rates of success and complications between direct laryngoscopy and GlideScope video laryngoscopy were analyzed
Results
- Initial and eventual success rates for GlideScope were significantly higher than direct laryngoscopy
- Children weighing <10 kg had lower success rates with the GlideScope than the group as a whole
- There were no differences in complication rates per attempt between direct laryngoscopy and GlideScope
- The direct laryngoscopy group had more complications associated with the greater number of attempts needed to intubate
- There were no increased risks of hypoxia or trauma with GlideScope use
- Each additional attempt at intubation with either device resulted in a two-fold increase in complications.
Less Invasive Surfactant Administration - How Video Laryngoscopes Can Transform Care in the NICU
This step-by-step video demonstrates how use of GlideScope® can enable clear visualization, team-based care, and confident delivery of surfactant therapy for fragile neonatal patients.
1. When compared to direct laryngoscopy
Park, R., et al. “The efficacy of GlideScope video laryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry.” BJA: British Journal of Anaesthesia 119.5 (2017): 984-992.
