Evidence map›Paper›PMID 28859114›Full record

Trial reportPloS one2017

Using King Vision video laryngoscope with a channeled blade prolongs time for tracheal intubation in different training levels, compared to non-channeled blade.

Marc Kriege, Christian Alflen, Ruediger R Noppens

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02344030 (Comparative Study of King Vision® Standard Blade and King Vision® Channeled for Tracheal Intubation), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.5field-weighted citation impact, top 5% 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.

NCT02344030 nacompletednot on this map

Comparative Study of King Vision® Standard Blade and King Vision® Channeled for Tracheal Intubation: a Prospective Randomised Study

TypeinterventionalSponsorJohannes Gutenberg University MainzRan2015 to 2015Enrolled44ConditionsHypoxemiaArmschanneled blade, standard blade
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Comparison of Macintosh Laryngoscope, King VisionJournal of clinical medicine · 2024
    Article
  6. Article
  7. Observational
  8. Article
  9. Video Laryngoscopic Intubation Using the King VisionDiagnostics (Basel, Switzerland) · 2020
    Article
  10. Tracheal intubation with channeled vs. non-channeled videolaryngoscope blades.Romanian journal of anaesthesia and intensive care · 2018
    Article
  11. Article
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

3 authors at 2 institutions in 2 countries.

Marc KriegeDepartment of Anesthesiology, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Christian AlflenDepartment of Anesthesiology, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Ruediger R NoppensDepartment of Anesthesia & Perioperative Medicine, Western University, London, Ontario, Canada.ORCID http://orcid.org/0000-0003-0069-579X
Johannes Gutenberg University Mainz · DEWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt is generally accepted that using a video laryngoscope is associated with an improved visualization of the glottis. However, correctly placing the endotracheal tube might be challenging. Channeled video laryngoscopic blades have an endotracheal tube already pre-loaded, allowing to advance the tube once the glottis is visualized. We hypothesized that use of a channel blade with pre-loaded endotracheal tube results in a faster intubation, compared to a curved Macintosh blade video laryngoscope.

methodsAfter ethical approval and informed consent, patients were randomized to receive endotracheal Intubation with either the King Vision® video laryngoscope with curved blade (control) or channeled blade (channeled). Success rate, evaluation of the glottis view (percentage of glottic opening (POGO), Cormack&Lehane (C&L)) and intubating time were evaluated.

resultsOver a two-month period, a total of 46 patients (control n = 23; channeled n = 23) were examined. The first attempt success rates were comparable between groups (control 100% (23/23) vs. channeled 96% (22/23); p = 0.31). Overall intubation time was significantly shorter with control (median 40 sec; IQR [24-58]), compared to channeled (59 sec [40-74]; p = 0.03). There were no differences in glottis visualization between groups.

conclusionCompared with the King Vision channeled blade, time for tracheal intubation was shorter with the control group using a non-channeled blade. First attempt success and visualization of the glottis were comparable. These data do not support the hypothesis that a channeled blade is superior to a curved video laryngoscopic blade without tube guidance.

trial registrationClinicalTrials.gov NCT02344030.

Indexed as

LaryngoscopesAdultAgedFemaleGlottisHumansIntubation, IntratrachealMaleMiddle AgedVideo-Assisted Surgery

Identifiers

PMID28859114
PMCPMC5578637
OpenAlexW2751387446

What OpenQuestion holds

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LicenceCC BY
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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.