Evidence map›Paper›PMID 34398347›Full record

ArticleAnnals of intensive care2021

Comparison of four channelled videolaryngoscopes to Macintosh laryngoscope for simulated intubation of critically ill patients: the randomized MACMAN2 trial.

Paul Decamps, Nicolas Grillot, Aurelie Le Thuaut, Noelle Brule, Corinne Lejus-Bourdeau, Jean Reignier, Jean-Baptiste Lascarrou

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07577648 (Comparative Study of the Channelled Blade Astra-Vue Videolaryngoscope and the Non-Channelled CMAC D-Blade Videolaryngoscope in Airway Management), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT07577648 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Comparative Study of the Channelled Blade Astra-Vue Videolaryngoscope and the Non-Channelled CMAC D-Blade Videolaryngoscope in Airway Management: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of MalayaRan2025 to 2026Enrolled60ConditionsAirway ManagementArmschannelled blade videolaryngoscope, Non channelled hyperangulated blade videolaryngoscope
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. 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

7 authors at 2 institutions in 1 country.

Paul DecampsMédecine Intensive Réanimation, Centre Hospitalier Universitaire de Nantes, Nantes, France.
Nicolas GrillotService d'Anesthésie Réanimation Chirurgicale, Université de Nantes, CHU Nantes, Pôle Anesthésie-Réanimation, Hôtel Dieu, 44093, Nantes, France.
Aurelie Le ThuautPlateforme de Méthodologie Et Biostatistique, Direction de La Recherche de L'Innovation, Centre Hospitalier Universitaire de Nantes, Nantes, France.
Noelle BruleMédecine Intensive Réanimation, Centre Hospitalier Universitaire de Nantes, Nantes, France.
Corinne Lejus-BourdeauService d'Anesthésie Réanimation Chirurgicale, Université de Nantes, CHU Nantes, Pôle Anesthésie-Réanimation, Hôtel Dieu, 44093, Nantes, France.
Jean ReignierMédecine Intensive Réanimation, Centre Hospitalier Universitaire de Nantes, Nantes, France.
Jean-Baptiste LascarrouMédecine Intensive Réanimation, Centre Hospitalier Universitaire de Nantes, Nantes, France. jeanbaptiste.lascarrou@chu-nantes.fr.ORCID http://orcid.org/0000-0003-3706-078X
Centre Hospitalier Universitaire de Nantes · FRNantes Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVideolaryngoscopes with an operating channel may improve the intubation success rate in critically ill patients. We aimed to compare four channelled videolaryngoscopes to the Macintosh laryngoscope used for intubation of a high-fidelity simulation mannikin, in a scenario that simulated critical illness due to acute respiratory failure.

resultsOf the 79 residents who participated, 54 were considered inexperienced with orotracheal intubation. Each participant used all five devices in random order. The first-pass success rate was 97.5% [95% CI 91.1-99.7] for Airtraq™, KingVision™, and Pentax AWS200™, 92.4% [95% CI 84.2-97.2] for VividTrac VT-A100™, and 70.9% [95% CI 59.6-80.6] for direct Macintosh laryngoscopy. The first-pass success rate was significantly lower with direct Macintosh laryngoscopy than with the videolaryngoscopes (p  <  0.0001 for Airtraq™, KingVision™, Pentax AWS200™, and VividTrac VT-A100™).

conclusionThe Airtraq™, KingVision™, and Pentax AWS200™ channelled videolaryngoscopes produced high first-pass success rates with a lower boundary of the 95% CI above 90%. A multicentre, randomised controlled clinical study comparing channelled videolaryngoscopy to direct laryngoscopy should include one of these three videolaryngoscopes.

Indexed as

Endotracheal intubationHigh-fidelity simulationIntensive careMacintosh laryngoscopeVideolaryngoscope

Identifiers

PMID34398347
PMCPMC8368860
OpenAlexW3193667397

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.