Authors
Annery G Garcia-Marcinkiewicz, Pete G Kovatsis, Agnes I Hunyady, Patrick N Olomu, Bingqing Zhang, Madhankumar Sathyamoorthy, Adolfo Gonzalez, Siri Kanmanthreddy, Jorge A Gálvez, Amber M Franz, James Peyton, Raymond Park, Edgar E Kiss, David Sommerfield, Heather Griffis, Akira Nishisaki, Britta S von Ungern-Sternberg, Vinay M Nadkarni, Francis X McGowan, John E Fiadjoe, David Ladner, Nicholas Burjek, Narasimhan Jagannathan, John Hadjuk, Saeedah Asaf, Chris Glover, Mary L Stein, Ramesh Kodavatiganti, BB Bruins, Brian Struyk, Luis Sequera-Ramos, Christopher Ward, Elizabeth Laverriere, Harshad Gurnaney, Eric Scheu, Heather Farrell, Paul Stricker, Pilar Castro, Angela Lee, Songyos Valairucha, Judit Szolnoki, Jennifer Zieg, Franklin B Chiao, Brad M Taicher, Jurgen C De Graaff, Nicholas M Dalesio, Robert S Greenberg, Angela R Lucero, Lillian Zamora, Allison Fernandez, Nada Mohamed, Stefano C Sabato, Christopher D Holmes, Somaletha T Bhattacharya, Jonathan Meserve, Paul I Reynolds, Bishr Haydar, Monica Weber, Megan Therrian, Martina Richtsfeld, Mark S Teen
Publication date
2020/12/12
Journal
The Lancet
Volume
396
Issue
10266
Pages
1905-1913
Publisher
Elsevier
Description
Background
Orotracheal intubation of infants using direct laryngoscopy can be challenging. We aimed to investigate whether video laryngoscopy with a standard blade done by anaesthesia clinicians improves the first-attempt success rate of orotracheal intubation and reduces the risk of complications when compared with direct laryngoscopy. We hypothesised that the first-attempt success rate would be higher with video laryngoscopy than with direct laryngoscopy.
Methods
In this multicentre, parallel group, randomised controlled trial, we recruited infants without difficult airways abnormalities requiring orotracheal intubation in operating theatres at four quaternary children's hospitals in the USA and one in Australia. We randomly assigned patients (1:1) to video laryngoscopy or direct laryngoscopy using random permuted blocks of size 2, 4, and 6, and stratified by site and clinician role. Guardians were masked to …
Scholar articles
AG Garcia-Marcinkiewicz, PG Kovatsis, AI Hunyady… - The Lancet, 2020