Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2016
Video laryngoscopy in pre-hospital critical care - a quality improvement study.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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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.
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Who cites it
14 citing papers in PubMed, 32 citations in OpenAlex.
- A pilot study on feasibility and hypothesis exploration: reducing on-scene length of stay of the emergency teams via ambulance dispatch teleconsultation for prehospital examination.Einstein (Sao Paulo, Brazil) · 2025Trial
- Comparing the McGrath Mac Video Laryngoscope and Direct Laryngoscopy for Prehospital Emergency Intubation in Air Rescue Patients: A Multicenter, Randomized, Controlled Trial.Critical care medicine · 2019Trial
- Visibility of video laryngoscope in high-illuminance environment simulating outdoor conditions: effects of screen conditions and polarized sunglasses.JA clinical reports · 2025Article
- Impact of Operating Table Height on the Difficulty of Mask Ventilation and Laryngoscopic View.Journal of clinical medicine · 2024Article
- Multifaceted implementation and sustainability of a protocol for prehospital anaesthesia: a retrospective analysis of 2115 patients from helicopter emergency medical services.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- The effect of a multi-faceted quality improvement program on paramedic intubation success in the critical care transport environment: a before-and-after study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Re-creating reality: validation of fresh frozen full cadaver airway training with videolaryngoscopy and bougie FIRST strategy : The BOAH-course: a prospective, observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- Managing the difficult airway: A survey of doctors with different seniority in China.Medicine · 2021Article
- Analysis of tracheal intubation in out-of-hospital helicopter emergency medicine recorded by video laryngoscopy.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Observational
- Comparing performance of video and direct laryngoscopy for pre-hospital intubation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Comparison of Direct and Video Laryngoscopes during Different Airway Scenarios Performed by Experienced Paramedics: A Randomized Cross-Over Manikin Study.BioMed research international · 2020Article
- Study on the effect of a cold environment on the quality of three video laryngoscopes: McGrath MAC, GlideScope Ranger, and Pentax Airway Scope.Clinical and experimental emergency medicine · 2019Article
- Standardised data reporting from pre-hospital advanced airway management - a nominal group technique update of the Utstein-style airway template.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Article
- Recent trends in airway management.F1000Research · 2017Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPre-hospital endotracheal intubation is challenging and repeated endotracheal intubation is associated with increased morbidity and mortality. We investigated whether the introduction of the McGrath MAC video laryngoscope as the primary device for pre-hospital endotracheal intubation could improve first-pass success rate in our anaesthesiologist-staffed pre-hospital critical care services. We also investigated the incidence of failed pre-hospital endotracheal intubation, the use of airway adjuncts and back-up devices and problems encountered using the McGrath MAC video laryngoscope.
methodsProspective quality improvement study collecting data from all adult pre-hospital endotracheal intubation performed by four anaesthesiologist-staffed pre-hospital critical care teams between December 15(th) 2013 and December 15(th) 2014.
resultsWe registered data from 273 consecutive patients. When using the McGrath MAC video laryngoscope the overall pre-hospital endotracheal intubation first-pass success rate was 80.8 %. Following rapid sequence intubation (RSI) it was 88.9 %. This was not significantly different from previously reported first-pass success rates in our system (p = 0.27 and p = 0.41). During the last nine months of the study period the overall first-pass success rate was 80.1 (p = 0.47) but the post-RSI first-pass success rate improved to 94.4 % (0.048). The overall pre-hospital endotracheal intubation success rate with the McGrath MAC video laryngoscope was 98.9 % (p = 0.17). Gastric content, blood or secretion in the airway resulted in reduced vision when using the McGrath MAC video laryngoscope.
conclusionIn this study of video laryngoscope implementation in a Scandinavian anaesthesiologist-staffed pre-hospital critical care service, overall pre-hospital endotracheal first pass success rate did not change. The post-RSI first-pass success rate was significantly higher during the last nine months of our 12-month study compared with our results from before introducing McGrath MAC video laryngoscope. The implementation of the Standard Operating Procedure and check list for pre-hospital anaesthesia during the study period may have influenced the first-pass success rate and constitutes a potential confounder. The potential limitations of the McGrath MAC video laryngoscope when there are gastric content, blood and secretions in the airways need to be further investigated before the McGrath MAC video laryngoscope can be recommended as the primary device in all pre-hospital endotracheal intubations.
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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.