Evidence map›Paper›PMID 35581709›Full record

Trial reportKorean journal of anesthesiology2022

Video laryngoscope versus USB borescope-aided endotracheal intubation in adults with anticipated difficult airway: a prospective randomized controlled study.

Mohamed Elshazly, Mark Medhat, Sahar Marzouk, Enas M Samir

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Korean journal of anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Mohamed ElshazlyDepartment of Anesthesia, Surgical ICU, and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt.
Mark MedhatDepartment of Anesthesia, Surgical ICU, and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt.
Sahar MarzoukDepartment of Anesthesia, Surgical ICU, and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt.
Enas M SamirDepartment of Anesthesia, Surgical ICU, and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt.
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVideo laryngoscopes are approved equipment for difficult airway intubations. The borescope, which was introduced during the coronavirus disease 2019 (COVID-19) era, is placed over a direct laryngoscope blade to provide an economical video laryngoscope. In the current study, we investigated the use of an endotracheal tube mounted over a USB borescope versus a video laryngoscope in patients with suspected difficult airways.

methodsAfter obtaining informed consent, 120 adult patients with suspected difficult airways undergoing elective surgery were included in this study. Patients were randomized into the USB borescope and video laryngoscope groups. The primary outcome was time to successful intubation. The secondary outcomes included hemodynamic changes, anesthetist's satisfaction, and the incidence of complications.

resultsIntubation time was comparable between the two groups (video laryngoscope: 30.63 s and borescope: 28.35 s; P = 0.166). However, the view was clearer (P = 0.026) and the incidence of fogging was lower (P = 0.015) with the video laryngoscope compared to the borescope. Conversely, anesthetist's satisfaction frequency was higher with the borescope than with the video laryngoscope (P < 0.001).

conclusionsThe video laryngoscope provided a better view and less fogging with an intubation time that was comparable to that of the borescope; however, the higher cost of the video laryngoscope limits its availability. Therefore, the borescope is a low-cost, readily available device that can be used for intubating patients with potentially difficult airways.

Indexed as

COVID-19LaryngoscopesAdultHumansIntubation, IntratrachealLaryngoscopyProspective StudiesAirway managementGeneral anesthesiaIntratracheal intubationIntubationLaryngoscopyTrachea.

Identifiers

PMID35581709
PMCPMC9346273
OpenAlexW4280586421

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.