ArticleJournal of perinatology : official journal of the California Perinatal Association2022
Does videolaryngoscopy improve tracheal intubation first attempt success in the NICUs? A report from the NEAR4NEOS.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- 2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 9. Neonatal resuscitation.Clinical and experimental emergency medicine · 2026Guideline
- Video vs. direct laryngoscopy for tracheal intubation in neonates: a meta-analysis.Frontiers in pediatrics · 2025Pooled it
- Video versus direct laryngoscopy to improve the success rate of nasotracheal intubations in the neonatal intensive care setting: a randomised controlled trial.BMJ paediatrics open · 2023Trial
- Comparison of functional features and user experience with different types of video laryngoscopes when used on neonatal manikins.Archives of disease in childhood. Fetal and neonatal edition · 2026Observational
- High Fidelity Simulations to Improve Pediatric Airway Management: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Comparative Evaluation of Videolaryngoscopy and Direct Laryngoscopy Performed in Paediatric Patients Undergoing Elective SurgeryTurkish journal of anaesthesiology and reanimation · 2026Article
- Video analysis of neonatal intubations using video laryngoscopy: a prospective comparison of clinical practice with resuscitation guidelines.Archives of disease in childhood. Fetal and neonatal edition · 2025Article
- Success and safety of neonatal endotracheal tube exchanges: a NEAR4NEOS multicentre retrospective cohort study.Archives of disease in childhood. Fetal and neonatal edition · 2025Observational
- Less Invasive Surfactant Administration Versus Intubate-Surfactant-Extubate: Associated With Reduced Mechanical Ventilation in Extremely Preterm Infants.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Video Laryngoscopes in Simulated Neonatal Intubation: Usability Study.Children (Basel, Switzerland) · 2025Article
- Neonatal Tracheal Intubation in the NICU: A Literature Review.Healthcare (Basel, Switzerland) · 2025Review
- Article
- Video vs. traditional laryngoscopy for tracheal intubation at birth or in the neonatal unit: A systematic review and meta-analysis.Resuscitation plus · 2025Review
- Outcomes, safety and health economics of introduction of video laryngoscopy-assisted less invasive surfactant administration.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Ventilation practices and preparedness of healthcare providers in term newborn resuscitation: A comprehensive survey study in Austrian hospitals.Resuscitation plus · 2024Article
- Factors that impact second attempt success for neonatal intubation following first attempt failure: a report from the National Emergency Airway Registry for Neonates.Archives of disease in childhood. Fetal and neonatal edition · 2024Article
- Can video laryngoscopy and supplemental oxygen redefine pediatric, infant and neonatal tracheal intubation standards?Translational pediatrics · 2024Article
- Airway management in the paediatric difficult intubation registry: a propensity score matched analysis of outcomes over time.EClinicalMedicine · 2024Article
- Factors that determine first intubation attempt success in high-risk neonates.Pediatric research · 2024Article
- Success rates and adverse events during neonatal intubation: Lessons learned from an international registry.Seminars in fetal & neonatal medicine · 2023Review
Corrections and comments
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Authors and funding
18 authors at 11 institutions in 4 countries.
Funding
Abstract
objectiveWe hypothesized that videolaryngoscope use for tracheal intubations would differ across NICUs, be associated with higher first attempt success and lower adverse events. STUDY
designData from the National Emergency Airway Registry for Neonates (01/2015 to 12/2017) included intubation with direct laryngoscope or videolaryngoscope. Primary outcome was first attempt success. Secondary outcomes were adverse tracheal intubation associated events and severe desaturation.
resultsOf 2730 encounters (13 NICUs), 626 (23%) utilized a videolaryngoscope (3% to 64% per site). Videolaryngoscope use was associated with higher first attempt success (p < 0.001), lower adverse tracheal intubation associated events (p < 0.001), but no difference in severe desaturation. After adjustment, videolaryngoscope use was not associated with higher first attempt success (OR:1.18, p = 0.136), but was associated with lower tracheal intubation associated events (OR:0.45, p < 0.001).
conclusionVideolaryngoscope use is variable, not independently associated with higher first attempt success but associated with fewer tracheal intubation associated events.
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What OpenQuestion holds
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.