Comparative Effectiveness of Video Laryngoscope and Conventional Laryngoscope for Endotracheal Intubation
DOI:
https://doi.org/10.62872/6t24rr48Keywords:
First-pass succes, Tracheal Intubation, Adult Patient, Video Laryngoscopy vs. ConventionalAbstract
Background : Endotracheal intubation is a vital procedure with risk of failure using conventional laryngoscope (CL), especially in difficult anatomy. Video laryngoscope (VL) offers indirect visualization, but its effectiveness remains controversial.
Objective : To analyze the effectiveness of VL (including McGrath Mac) versus CL in adult patient, including first-pass succes, intubation time, complications, operator influence and human factors.
Methods : Literature search in Pubmed, ScienceDirect and Google Scholar, identifying RCTs (2020-2025) in adults patients. Analysis with the Joanna Briggs Institute (JBI) selected three high-quality studies (score>75%).
Result : VL significantly improved first-pass succes rate: 94% vs. 82% (p<0.001;elective), 85.1% vs. 70.8% (p<0.001; critical), and non-inferiority (COVALENT-T). Cormack-Lehane score ≥ 3 decreased (0.7% vs. 8%; p<0.001). Severe complications were not significantly different (p≥0.82). COVALEN-T integrates human factors (task load, teamwork).
Conclusion : VL improves first intubation succes, airway visualization and time efficiency, especially for novice operators, without the risk of additional complications. Findings recommendations need to take into account blade type, operator experience and patient context.
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References
Araújo, B., Rivera, A., Martins, S., Abreu, R., Cassa, P., Silva, M., & Gallo de Moraes, A. (2024). Video versus direct laryngoscopy in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials. Critical Care, 28(1), 1–10. https://doi.org/10.1186/s13054-023-04727-9
Carsetti, A., Sorbello, M., Adrario, E., Donati, A., & Falcetta, S.(2022). Airway Ultrasound as Predictor of Difficult Direct Laryngoscopy: A Systematic Review and Meta-analysis. Anesthesia and Analgesia, 134(4), 740–750. https://doi.org/10.1213/ANE.0000000000005839
Cook, T. M., El-Boghdadly, K., McGuire, B., McNarry, A. F., Patel, A., & Higgs, A. (2020). Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists. Anaesthesia, 75(6), 785–799.https://doi.org/10.1111/anae.15054
Cortese, G., Sorbello, M., Di Giacinto, I., Cedrone, M., Urdaneta, F., & Brazzi, L. (2022). Human Factors and Airway Management in COVID-19 Patients: The Perfect Storm? Journal of Clinical Medicine, 11(15), 0–9. https://doi.org/10.3390/jcm11154271
Cumberworth, A., Lewith, H., Sud, A., Jefferson, H., Athanassoglou, V., & Pandit, J. J. (2022). Major complications of airway management: a prospective multicentre observational study. Anaesthesia, 77(6), 640–648. https://doi.org/10.1111/anae.15668
Kriege, M., Noppens, R. R., Turkstra, T., Payne, S., Kunitz, O., Tzanova, I., Schmidtmann, I., Alflen, C., Griemert, E. V., Heid, F., Pirlich, N., Wittenmeier, E., Flier, S., Chui, J., Piepho, T., & Venker, B. (2023). A multicentre randomised controlled trial of the McGrathTM Mac videolaryngoscope versus conventional laryngoscopy. Anaesthesia, 78(6), 722–729. https://doi.org/10.1111/anae.15985
Li, T., Jafari, D., Meyer, C., Voroba, A., Haddad, G., Abecassis, S., Bank, M., Dym, A., Naqvi, A., Gujral, R., & Rolston, D. (2021). Video laryngoscopy is associated with improved first-pass intubation success compared with direct laryngoscopy in emergency department trauma patients. JACEP Open, 2(1), e12373. https://doi.org/10.1002/emp2.12373
MICHA, R. (2020). 乳鼠心肌提取 HHS Public Access. Physiology & Behavior, 176(1), 100–106. https://doi.org/10.1177/0022146515594631.Marriage
Mosier, J. M., Sakles, J. C., Adam Law, J., Brown, C. A., & Brindley, P. G. (2020). Tracheal intubation in the critically Ill: Where we came from and where we should go. American Journal of Respiratory and Critical Care Medicine, 201(7), 775–788. https://doi.org/10.1164/RCCM.201908-1636CI
Saul, S. A., Ward, P. A., & McNarry, A. F. (2023). Airway Management: The Current Role of Videolaryngoscopy. Journal of Personalized Medicine, 13(9). https://doi.org/10.3390/jpm13091327
Schmid, B., Eckert, D., Meixner, A., Pistner, P., Malzahn, U., Berberich, M., Happel, O., Meybohm, P., & Kranke, P. (2023). Conventional versus video-assisted laryngoscopy for perioperative endotracheal intubation (COVALENT) - a randomized, controlled multicenter trial. BMC Anesthesiology, 23(1), 1–12. https://doi.org/10.1186/s12871-023-02083-3
Trent, S. A., Kaji, A. H., Carlson, J. N., McCormick, T., Haukoos, J. S., & Brown, C. A. (2021). Video Laryngoscopy Is Associated With First-Pass Success in Emergency Department Intubations for Trauma Patients: A Propensity Score Matched Analysis of the National Emergency Airway Registry. Annals of Emergency Medicine, 78(6), 708–719. https://doi.org/10.1016/j.annemergmed.2021.07.115
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Copyright (c) 2025 Fatimah, Kurnia Putri Ramadhani, Lexzy Edia Nathaza, Elisa Fitri (Author)
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
