SynthesisEuropean journal of pediatrics2024
Video laryngoscopy in neonate and infant intubation-a systematic review and meta-analysis.
Synthesis in European journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to improve neonatal and infant intubation success: a meta-analysis.European journal of pediatrics · 2026Pooled it
- Respiratory support during endotracheal intubation to improve intubation success in neonates.The Cochrane database of systematic reviews · 2026Pooled it
- How consistent are recent neonatal resuscitation guidelines?Resuscitation plus · 2026Review
- Comparative Evaluation of Videolaryngoscopy and Direct Laryngoscopy Performed in Paediatric Patients Undergoing Elective SurgeryTurkish journal of anaesthesiology and reanimation · 2026Article
- Neonatal endotracheal intubation: development of a comprehensive educational program for procedural skills.Pediatric research · 2026Review
- Deep learning to assess laryngoscope insertion depth during neonatal intubation with video laryngoscopy.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Video vs. traditional laryngoscopy for tracheal intubation at birth or in the neonatal unit: A systematic review and meta-analysis.Resuscitation plus · 2025Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We aimed to analyze the effect of video laryngoscopy on intubation success, time to intubation, and adverse events in infants and neonates. A systematic review and meta-analysis was performed, for which a neonates (age less than 29 days) and infants (age less than 365 days) needing to be intubated were included. The main outcomes were first attempt success rate in the intubation, time to intubation, and adverse events. Evidence certainty was assessed according to GRADE. We included 13 studies. Seven studies with 897 patients focused on neonates, and the first attempt success rate was higher in the video laryngoscopy group (RR 1.18, CI: 1.03-1.36). Six studies included 1039 infants, and the success rate was higher in the video laryngoscopy group (RR 1.06, CI: 1.00-1.20). Time to intubation was assessed in 11 trials, and there was no difference between the groups (mean difference 1.2 s, CI - 2.2 s to + 4.6 s). Odds of desaturation (OR 0.62, CI 0.42-0.93) and nasal/oral trauma (OR 0.24, CI 0.07-0.85) were lower in the video laryngoscopy group. Evidence certainties varied between moderate and low.
conclusionWe found moderate certainty evidence that the use of video laryngoscopy improves first attempt success rates in neonate and infant intubations, while the time to intubation did not differ between video and direct laryngoscopy groups. Further studies are still needed to improve the first intubation success rates in neonates. WHAT IS KNOWN: • Video laryngoscopy has been shown to improve first-pass intubation success rates and reduce time to intubation in adults and older children. WHAT IS NEW: • Video laryngoscopy improved the first attempt intubation success rates both in neonates and in infants. • Video laryngoscopy did not increase the time to intubation, and it was associated with less adverse events than direct laryngoscopy.
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