Efficacy and safety of videolaryngoscopy versus direct laryngoscopy in paediatric intubation: A meta-analysis of 27 randomized controlled trials - 24/09/20
Abstract |
Objective |
Anatomical and physiological differences in paediatric and adult airways make intubation of paediatric patients a challenge. This study aimed to compare the efficacy and safety of video laryngoscopy (VL) to direct laryngoscopy (DL) on intubation outcomes in paediatric patients.
Design |
Systematic review and meta-analysis.
Setting |
Operating room.
Patients |
Paediatric patients who needed tracheal intubation.
Intervention |
Video laryngoscopy or direct laryngoscopy.
Measurements |
Electronic searches in PubMed, Embase, and the Cochrane Library were performed to identify relevant randomized controlled trials published through January 2020. Outcomes included time to intubate, intubation failure at first attempt, Cormack-Lehane laryngeal view grade, intubation difficulty scale (IDS), percentage of glottic opening score (POGO), optimal external laryngeal manipulation (OLEM), and complications. Relative risks and weighted mean difference (WMD), with 95% CI, were employed to calculate summary results using a random-effects model.
Main results |
Overall, 27 trials including 2461 paediatric patients were analysed. Children with video laryngoscopy intubation required longer time to intubate than direct laryngoscopy intubation (WMD 3.41, 95% CI: 1.29–5.53, P = 0.002), whereas infants receiving video laryngoscopy and direct laryngoscopy intubation experienced similar time to intubate (WMD 1.72, 95% CI: −1.09-4.54, P = 0.230). No significant differences were observed on intubation failure at first attempt between video laryngoscopy and direct laryngoscopy intubations in children and infants, respectively. Video laryngoscopy improved the POGO and intubation trauma but not Cormack-Lehane laryngeal view grade, IDS, external laryngeal manipulation, hoarseness, or oxygen desaturation.
Conclusions |
Compared with direct laryngoscopy intubation, there were no benefits for paediatric patients with video laryngoscopy on time to intubate and failure at first attempt, but there were benefits with regard to POGO and intubation trauma.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Tracheal intubation is a challenge for paediatric patients. |
• | This meta-analysis synthesized 27 trials about videolaryngoscopy intubation. |
• | Children with videolaryngoscopy intubation required longer time. |
• | Videolaryngoscopy intubation has better glottic opening and less trauma. |
Keywords : Paediatric intubation, Neonates, Videolaryngoscopy, Direct laryngoscopy, Meta-analysis, Randomized controlled trial
Plan
Vol 66
Article 109968- novembre 2020 Retour au numéro
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