Videolaryngoscopy may reduce the number of intubations attempts in neonates

Videolaryngoscopy may reduce the number of intubation attempts in neonates

SOURCE

Lingappan K, Neveln N, Arnold JL, Fernandes CJ, Pammi M.
Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates.
Cochrane Database of Systematic Reviews 2023, Issue 5. Art. No.: CD009975.
DOI: 10.1002/14651858.CD009975.pub4.

CONTEXT

Rapid establishment of a secure airway is key in neonatal resuscitation. Videolaryngoscopy is emerging
as a new technique for intubation, and it may accelerate successful endotracheal intubation when
compared to direct laryngoscopy in neonates.

CLINICAL QUESTION

Is videolaryngoscopy better than direct laryngoscopy in neonatal intubation?

BOTTOM LINE

Compared with direct laryngoscopy in neonates, videolaryngoscopy may increase the success rate of
first-try intubation (low certainty evidence) and may reduce intubation attempts (low certainty
evidence). Also, videolaryngoscopy probably reduces airway trauma (moderate certainty evidence).
However, it may not reduce the time for successful intubation and has very little effect on desaturation
during intubation attempts (low certainty evidence).

CAVEATS

Some of the studies reviewed received equipment and funding that were not stated as conflict of
interest. Also, the providers were not blinded, and the studies had small samples.

AUTHORS

Michael Schaulin
michael.schaulin.med@ssss.gouv.qc.ca
Centre Hospitalier Affilié Universitaire Régional (CHAUR), Trois-Rivières (Québec), Canada
Chady El Tawil
chady.eltawil.med@ssss.gouv.qc.ca
Centre Hospitalier Affilié Universitaire Régional (CHAUR), Trois-Rivières (Québec), Canada
Montreal Children’s Hospital, Montreal (Québec), Canada