Evidence map›Paper›PMID 39734564›Full record

ReviewCureus2024

Comparative Efficacy of Videolaryngoscopy and Direct Laryngoscopy in Patients Living With Obesity: A Meta-Analysis.

Hannan Chaudery, Harira Hameed, Zaina Sharif, Sheko Asinger, Andrew McKechnie

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. 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

5 authors.

Hannan ChauderyAnaesthesia, King's College Hospital NHS Foundation Trust, London, GBR.
Harira HameedMedicine, Multan Medical and Dental College, Multan, PAK.
Zaina SharifMedicine, Croydon Health Services NHS Trust, London, GBR.
Sheko AsingerEmergency Medicine, Croydon Health Services NHS Trust, London, GBR.
Andrew McKechnieAnaesthesia, Lewisham and Greenwich NHS Trust, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intubation in patients living with obesity poses unique challenges due to altered airway anatomy and reduced physiological reserve, increasing the risk of complications. In synthesizing evidence from multiple trials, our meta-analysis suggests that videolaryngoscopy may provide a higher likelihood of achieving successful intubation on the first attempt compared to direct laryngoscopy while not substantially increasing the procedure time. Videolaryngoscopy was associated with a significant increase in first-pass intubation success compared to direct laryngoscopy, with a pooled risk ratio (RR) of 0.42 (95% CI 0.22 - 0.78, p = 0.0064). There was no significant difference in time to intubation between the two techniques (standardised mean differences (SMD) 0.13, 95% CI -0.26 to 0.52, p = 0.51), a result approached with low certainty due to the high heterogeneity among studies. Although the underlying studies varied in their methods and patient populations, these findings support the consideration of videolaryngoscopy as a potentially more reliable and safer technique for airway management in patients with obesity.

Indexed as

direct laryngoscopyglidescopelaryngoscopymeta-analysisobesityvideolaryngoscopy

Identifiers

PMID39734564
PMCPMC11682608

What OpenQuestion holds

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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.