Evidence map›Paper›PMID 24556912›Full record

SynthesisIntensive care medicine2014

Video laryngoscopy versus direct laryngoscopy for orotracheal intubation in the intensive care unit: a systematic review and meta-analysis.

Audrey De Jong, Nicolas Molinari, Matthieu Conseil, Yannael Coisel, Yvan Pouzeratte, Fouad Belafia, Boris Jung, Gérald Chanques, Samir Jaber

3 registry-linked trialsOpen access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Intensive care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 68 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 13 pooled it
26.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02530957 nacompletednot on this mapstarted 2015, after this paper: background citation

Comparison of Two Methods of Preoxygenation Before Oro Tracheal Intubation in the Hypoxemic Patient in Intensive Care Unit : Non Invasive Ventilation (NIV) + High Flow Nasal Cannula Oxygen Versus NIV Alone : a Randomized Controlled Study

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2015 to 2016Enrolled50ConditionsIntubation IntraesophagealArmsNon invasive ventilation + High flow nasal cannula oxygen, Non invasive ventilation
NCT02611141 nacompletednot on this mapstarted 2015, after this paper: background citation

Retromolar Route Access With and Without A Retromolar Gap - A Visualization Study Of The Vocal Cords

TypeinterventionalSponsorMedical University of ViennaRan2015 to 2017Enrolled40ConditionsAirway ManagementArmsRetromolar laryngoscopy and scoring of the visualisation of the vocal cords according to Cormack & Lehane
NCT03613103 nacompletednot on this mapstarted 2018, after this paper: background citation

Airway Injuries After Intubation Using Videolaryngoscopy Highly Curved Blades Versus Direct Laryngoscopy for Adult Patients Requiring Tracheal Intubation: a Randomized Controlled Trial

TypeinterventionalSponsorUniversidad de AntioquiaRan2018 to 2023Enrolled716ConditionsAirway Trauma, Airway Complication of AnesthesiaArmsVideo laryngoscopy, Direct laryngoscopy
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 13 syntheses or guidelines pooled it, 186 citations in OpenAlex.

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  4. Efficacy of tracheal tube introducers and stylets for endotracheal intubation in the prehospital setting: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
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  6. A systematic review of meta-analyses comparing direct laryngoscopy with videolaryngoscopy.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Audrey De JongIntensive Care Unit, Anesthesia and Critical Care Department, Saint Eloi Teaching Hospital, University Montpellier 1, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5, France.
Nicolas Molinari
Matthieu Conseil
Yannael Coisel
Yvan Pouzeratte
Fouad Belafia
Boris Jung
Gérald Chanques
Samir Jaber
Hôpital Saint Eloi · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSingle studies of video laryngoscopy (VL) use for airway management in intensive care unit (ICU) patients have produced controversial findings. The aim of this study was to critically review the literature to investigate whether VL reduces difficult orotracheal intubation (OTI) rate, first-attempt success, and complications related to intubation in ICU patients, compared to standard therapy, defined as direct laryngoscopy (DL).

methodsWe performed a systematic review and meta-analysis of randomized controlled trials, as well as prospective and retrospective observational studies, by searching PubMed, EMBASE, and bibliographies of articles retrieved. We screened for relevant studies that enrolled adults in whom the trachea was intubated in the ICU and compared VL to DL. We included studies reporting at least one clinical outcome of interest to perform a meta-analysis. We generated pooled odd ratios (OR) across studies. The primary outcome measure was difficult OTI. The secondary outcomes were first-attempt success, Cormack 3/4 grades, and complications related to intubation (severe hypoxemia, severe cardiovascular collapse, airway injury, esophageal intubation).

resultsNine trials with a total of 2,133 participants (1,067 in DL and 1,066 in VL) were included in the current analysis. Compared to DL, VL reduced the risk of difficult OTI [OR 0.29 (95% confidence interval (CI) 0.20-0.44, p < 0.001)], Cormack 3/4 grades [OR 0.26 (95% CI 0.17-0.41, p < 0.001)], and esophageal intubation [0.14 (95% CI 0.02-0.81, p = 0.03)] and increased the first-attempt success [OR 2.07 (95% CI 1.35-3.16, p < 0.001)]. No statistically significant difference was found for severe hypoxemia, severe cardiovascular collapse or airway injury.

conclusionsThese results suggest that VL could be useful in airway management of ICU patients.

Indexed as

Outcome and Process Assessment, Health CareAdultCardiovascular SystemCritical CareDatabases, BibliographicHumansIntensive Care UnitsIntubation, IntratrachealLaryngoscopyLung InjuryVideo-Assisted Surgery

Identifiers

PMID24556912
OpenAlexW2011222632

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.