Evidence map›Paper›PMID 37735666›Full record

Trial reportTrials2023

Comparison of video laryngoscope, video stylet, and flexible videoscope for transoral endotracheal intubation in patients with difficult airways: a randomized, parallel-group study.

Tao Zhang, Kai-Yuan Zhao, Ping Zhang, Ren-Hu Li

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  8. Radius of curvature of endotracheal tube: Are we losing it.Journal of anaesthesiology, clinical pharmacology
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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

4 authors at 1 institution in 1 country.

Tao ZhangDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui, China.
Kai-Yuan ZhaoDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui, China.
Ping ZhangDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui, China.
Ren-Hu LiDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui, China. lirenhu2008@163.com.ORCID http://orcid.org/0000-0002-3118-9163
Anhui Medical University · CN

Funding

the Research Fund Project at the Hospital Level of Luan Hospital, Anhui Medical University 2021kykt05
6 · The paper itself

Abstract

backgroundThe 2022 ASA guidelines recommend the video laryngoscope, video stylet, and flexible videoscope as airway management tools. This study aims to compare the efficacy of three airway devices in intubating patients with difficult airways.

methodsA total of 177 patients were selected and randomized into the following three groups: the video laryngoscope group (Group VL, n = 59), video stylet group (Group VS, n = 59), and flexible videoscope group (Group FV, n = 59). The success rate of the first-pass intubation, time of tracheal intubation, level of glottic exposure, and occurrence of intubation-related adverse events were recorded and analyzed.

resultsAll patients were successfully intubated with three devices. The first-pass intubation success rate was significantly higher in Groups VS and FV than in Group VL (96.61% vs. 93.22% vs. 83.05%, P < 0.01), but it was similar in the first-pass intubation success rate between Groups VS and FV(P > 0.05). The number of patients categorized as Wilson-Cormack-Lehane grade I-II was fewer in Group VL than in Groups VS and FV (77.97% vs. 98.30% vs. 100%, P = 0.0281). The time to tracheal intubation was significantly longer in Group FV(95.20 ± 4.01) than in Groups VL(44.56 ± 4.42) and VS(26.88 ± 4.51) (P < 0.01). No significant differences were found among the three groups in terms of adverse intubation reactions (P > 0.05).

conclusionsIn patients with difficult airways requiring intubation, use of the video stylet has the advantage of a relatively shorter intubation time, and the flexible videoscope and video stylet yield a higher first-pass intubation success rate and clearer glottic exposure than the use of the video laryngoscope.

trial registrationChinese Clinical Trial Registry. No: ChiCTR2200061560, June 29, 2022.

Indexed as

Intubation, IntratrachealLaryngoscopesAirway ManagementAsian PeopleChinaHumansVideo RecordingAirway managementDifficult airwayIntubationIntubation devices

Identifiers

PMID37735666
PMCPMC10512610
OpenAlexW4386930143

What OpenQuestion holds

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Registered trials

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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.