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. 2022 Sep;42(9):1210-1215.
doi: 10.1038/s41372-022-01472-9. Epub 2022 Aug 3.

Does videolaryngoscopy improve tracheal intubation first attempt success in the NICUs? A report from the NEAR4NEOS

Ahmed Moussa  1 , Taylor Sawyer  2 , Mihai Puia-Dumitrescu  2 , Elizabeth E Foglia  3 , Anne Ades  3 , Natalie Napolitano  4 , Kristen M Glass  5 , Lindsay Johnston  6 , Philipp Jung  7 , Neetu Singh  8 , Bin Huey Quek  9 , James Barry  10 , Jeanne Zenge  10 , Stephen DeMeo  11 , Ayman Abou Mehrem  12 , Vinay Nadkarni  13 , Akira Nishisaki  13 ; National Emergency Airway Registry for Neonates (NEARNEOS) investigators
Affiliations

Does videolaryngoscopy improve tracheal intubation first attempt success in the NICUs? A report from the NEAR4NEOS

Ahmed Moussa et al. J Perinatol. 2022 Sep.

Abstract

Objective: We hypothesized that videolaryngoscope use for tracheal intubations would differ across NICUs, be associated with higher first attempt success and lower adverse events.

Study design: Data from the National Emergency Airway Registry for Neonates (01/2015 to 12/2017) included intubation with direct laryngoscope or videolaryngoscope. Primary outcome was first attempt success. Secondary outcomes were adverse tracheal intubation associated events and severe desaturation.

Results: Of 2730 encounters (13 NICUs), 626 (23%) utilized a videolaryngoscope (3% to 64% per site). Videolaryngoscope use was associated with higher first attempt success (p < 0.001), lower adverse tracheal intubation associated events (p < 0.001), but no difference in severe desaturation. After adjustment, videolaryngoscope use was not associated with higher first attempt success (OR:1.18, p = 0.136), but was associated with lower tracheal intubation associated events (OR:0.45, p < 0.001).

Conclusion: Videolaryngoscope use is variable, not independently associated with higher first attempt success but associated with fewer tracheal intubation associated events.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1. Videolaryngoscope use in the Neonatal Intensive Care Units.
This figure presents the proportion of intubations using the videolaryngoscope (VL) per participating site.
See this image and copyright information in PMC

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