Critical Care/ Emergency Medicine
Dr. Tom Colletti
Video assisted intubation is reviewed compared to more traditional direct visualization intubation methods to determine if video laryngoscopy is a better choice. Video Laryngoscopy (LV) will be directly compared to Direct Laryngoscopy to determine if first pass rates (FPR) increase with it use, if time to intubation (TTI) decreases and if there are less complications.
Recently published review articles were reviewed, 14 in total. All the articles were published since 2015 and 3 of the articles were meta-analysis.
VL provided a better view of glottis area. In difficult airway situations it had better FPR, and in the hands of experienced providers was a tool that that could increase FPR and decrease some complications. VL had a slightly better FPR and less experienced providers had more success but it didn’t have a significant difference in complications.
VL should be considered first line choice in intubation in most instances. In experienced providers have better FPR and in difficult airway situations or intubations outside the OR or other controlled setting VL can be more effective.
Young B. Direct versus Video Laryngoscopy. Lynchburg Journal of Medical Science. 2019; 1(4).
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