Home > Research > Publications & Outputs > Videolaryngoscopy versus direct laryngoscopy fo...

Links

Text available via DOI:

View graph of relations

Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation: a Cochrane systematic review and meta-analysis update

Research output: Contribution to Journal/MagazineReview articlepeer-review

Published

Standard

Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation: a Cochrane systematic review and meta-analysis update. / Hansel, J.; Rogers, A.M.; Lewis, S.R. et al.
In: British Journal of Anaesthesia, Vol. 129, No. 4, 31.10.2022, p. 612-623.

Research output: Contribution to Journal/MagazineReview articlepeer-review

Harvard

Hansel, J, Rogers, AM, Lewis, SR, Cook, TM & Smith, AF 2022, 'Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation: a Cochrane systematic review and meta-analysis update', British Journal of Anaesthesia, vol. 129, no. 4, pp. 612-623. https://doi.org/10.1016/j.bja.2022.05.027

APA

Hansel, J., Rogers, A. M., Lewis, S. R., Cook, T. M., & Smith, A. F. (2022). Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation: a Cochrane systematic review and meta-analysis update. British Journal of Anaesthesia, 129(4), 612-623. https://doi.org/10.1016/j.bja.2022.05.027

Vancouver

Hansel J, Rogers AM, Lewis SR, Cook TM, Smith AF. Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation: a Cochrane systematic review and meta-analysis update. British Journal of Anaesthesia. 2022 Oct 31;129(4):612-623. Epub 2022 Sept 30. doi: 10.1016/j.bja.2022.05.027

Author

Hansel, J. ; Rogers, A.M. ; Lewis, S.R. et al. / Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation : a Cochrane systematic review and meta-analysis update. In: British Journal of Anaesthesia. 2022 ; Vol. 129, No. 4. pp. 612-623.

Bibtex

@article{46d1f9f2781543de82704efac569c7cd,
title = "Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation: a Cochrane systematic review and meta-analysis update",
abstract = "BackgroundTracheal intubation is a commonly performed procedure that can be associated with complications and result in patient harm. Videolaryngoscopy (VL) may decrease this risk as compared with Macintosh direct laryngoscopy (DL). This review evaluates the risk and benefit profile of VL compared with DL in adults.MethodsWe searched MEDLINE, Embase, CENTRAL, and Web of Science on February 27, 2021. We included RCTs comparing VL with DL in patients undergoing tracheal intubation in any setting. We separately compared outcomes according to VL design: Macintosh-style, hyperangulated, and channelled.ResultsA total of 222 RCTs (with 26 149 participants) were included. Most studies had unclear risk of bias in at least one domain, and all were at high risk of performance and detection bias. We found that videolaryngoscopes of any design likely reduce rates of failed intubation (Macintosh-style: risk ratio [RR]=0.41; 95% confidence interval [CI], 0.26–0.65; hyperangulated: RR=0.51; 95% CI, 0.34–0.76; channelled: RR=0.43, 95% CI, 0.30–0.61; moderate-certainty evidence) with increased rates of successful intubation on first attempt and better glottic views across patient groups and settings. Hyperangulated designs are likely favourable in terms of reducing the rate of oesophageal intubation, and result in improved rates of successful intubation in individuals presenting with difficult airway features (P=0.03). We also present other patient-oriented outcomes.ConclusionsIn this systematic review and meta-analysis of trials of adults undergoing tracheal intubation, VL was associated with fewer failed attempts and complications such as hypoxaemia, whereas glottic views were improved.Systematic review registrationThis article is based on a Cochrane Review published in the Cochrane Database of Systematic Reviews (CDSR) 2022, Issue 4, DOI: 10.1002/14651858.CD011136.pub3 (see www.cochranelibrary.com for information). Cochrane Reviews are regularly updated as new evidence emerges and in response to feedback, and the CDSR should be consulted for the most recent version of the review.",
keywords = "airway management, laryngoscopy, meta-analysis, systematic review, tracheal intubation, videolaryngoscopy",
author = "J. Hansel and A.M. Rogers and S.R. Lewis and T.M. Cook and A.F. Smith",
year = "2022",
month = oct,
day = "31",
doi = "10.1016/j.bja.2022.05.027",
language = "English",
volume = "129",
pages = "612--623",
journal = "British Journal of Anaesthesia",
issn = "0007-0912",
publisher = "ELSEVIER SCI LTD",
number = "4",

}

RIS

TY - JOUR

T1 - Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation

T2 - a Cochrane systematic review and meta-analysis update

AU - Hansel, J.

AU - Rogers, A.M.

AU - Lewis, S.R.

AU - Cook, T.M.

AU - Smith, A.F.

PY - 2022/10/31

Y1 - 2022/10/31

N2 - BackgroundTracheal intubation is a commonly performed procedure that can be associated with complications and result in patient harm. Videolaryngoscopy (VL) may decrease this risk as compared with Macintosh direct laryngoscopy (DL). This review evaluates the risk and benefit profile of VL compared with DL in adults.MethodsWe searched MEDLINE, Embase, CENTRAL, and Web of Science on February 27, 2021. We included RCTs comparing VL with DL in patients undergoing tracheal intubation in any setting. We separately compared outcomes according to VL design: Macintosh-style, hyperangulated, and channelled.ResultsA total of 222 RCTs (with 26 149 participants) were included. Most studies had unclear risk of bias in at least one domain, and all were at high risk of performance and detection bias. We found that videolaryngoscopes of any design likely reduce rates of failed intubation (Macintosh-style: risk ratio [RR]=0.41; 95% confidence interval [CI], 0.26–0.65; hyperangulated: RR=0.51; 95% CI, 0.34–0.76; channelled: RR=0.43, 95% CI, 0.30–0.61; moderate-certainty evidence) with increased rates of successful intubation on first attempt and better glottic views across patient groups and settings. Hyperangulated designs are likely favourable in terms of reducing the rate of oesophageal intubation, and result in improved rates of successful intubation in individuals presenting with difficult airway features (P=0.03). We also present other patient-oriented outcomes.ConclusionsIn this systematic review and meta-analysis of trials of adults undergoing tracheal intubation, VL was associated with fewer failed attempts and complications such as hypoxaemia, whereas glottic views were improved.Systematic review registrationThis article is based on a Cochrane Review published in the Cochrane Database of Systematic Reviews (CDSR) 2022, Issue 4, DOI: 10.1002/14651858.CD011136.pub3 (see www.cochranelibrary.com for information). Cochrane Reviews are regularly updated as new evidence emerges and in response to feedback, and the CDSR should be consulted for the most recent version of the review.

AB - BackgroundTracheal intubation is a commonly performed procedure that can be associated with complications and result in patient harm. Videolaryngoscopy (VL) may decrease this risk as compared with Macintosh direct laryngoscopy (DL). This review evaluates the risk and benefit profile of VL compared with DL in adults.MethodsWe searched MEDLINE, Embase, CENTRAL, and Web of Science on February 27, 2021. We included RCTs comparing VL with DL in patients undergoing tracheal intubation in any setting. We separately compared outcomes according to VL design: Macintosh-style, hyperangulated, and channelled.ResultsA total of 222 RCTs (with 26 149 participants) were included. Most studies had unclear risk of bias in at least one domain, and all were at high risk of performance and detection bias. We found that videolaryngoscopes of any design likely reduce rates of failed intubation (Macintosh-style: risk ratio [RR]=0.41; 95% confidence interval [CI], 0.26–0.65; hyperangulated: RR=0.51; 95% CI, 0.34–0.76; channelled: RR=0.43, 95% CI, 0.30–0.61; moderate-certainty evidence) with increased rates of successful intubation on first attempt and better glottic views across patient groups and settings. Hyperangulated designs are likely favourable in terms of reducing the rate of oesophageal intubation, and result in improved rates of successful intubation in individuals presenting with difficult airway features (P=0.03). We also present other patient-oriented outcomes.ConclusionsIn this systematic review and meta-analysis of trials of adults undergoing tracheal intubation, VL was associated with fewer failed attempts and complications such as hypoxaemia, whereas glottic views were improved.Systematic review registrationThis article is based on a Cochrane Review published in the Cochrane Database of Systematic Reviews (CDSR) 2022, Issue 4, DOI: 10.1002/14651858.CD011136.pub3 (see www.cochranelibrary.com for information). Cochrane Reviews are regularly updated as new evidence emerges and in response to feedback, and the CDSR should be consulted for the most recent version of the review.

KW - airway management

KW - laryngoscopy

KW - meta-analysis

KW - systematic review

KW - tracheal intubation

KW - videolaryngoscopy

U2 - 10.1016/j.bja.2022.05.027

DO - 10.1016/j.bja.2022.05.027

M3 - Review article

C2 - 35820934

VL - 129

SP - 612

EP - 623

JO - British Journal of Anaesthesia

JF - British Journal of Anaesthesia

SN - 0007-0912

IS - 4

ER -