Evidence · Randomised trial
Video versus direct laryngoscopy to improve the success rate of nasotracheal intubations in the neonatal intensive care setting: a randomised controlled trial.
- Airway
- Difficult airway
- Intubation
- Medical
- Nursing
Summary
Single-centre randomised controlled trial from Mainz, Germany comparing video laryngoscopy with direct laryngoscopy for nasotracheal intubation of neonates in the delivery room and NICU. First-attempt success rates and adverse tracheal intubation-associated events were similar between groups, though oesophageal intubation with desaturation occurred only in the direct laryngoscopy arm. The study was underpowered and is presented as effect-size data to inform future trials. Relevant to PICU teams interested in airway device choice and intubation safety in small infants.
Summary written for PICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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