Video Versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults: A Systematic Review and Meta-Analysis DOI Open Access
Paola Pastora Polo-Pantoja, Rodrigo Ramírez-Rodríguez, Rodrigo Alejandro-Salinas

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(6), P. 1933 - 1933

Published: March 13, 2025

Background/Objectives: Endotracheal intubation in critically ill patients presents significant challenges due to anatomical and physiological complexities, making airway management crucial. Video laryngoscopy (VL) has emerged as a promising alternative direct (DL), offering improved higher success rates. This systematic review meta-analysis evaluated the comparative efficacy safety of VL versus DL adults. Methods: A search was conducted PubMed, Embase, Cochrane Library through August 2024 following PRISMA-2020 guidelines. Randomized controlled trials comparing adult were included. The RoB 2.0 tool assessed bias, GRADE certainty evidence. primary outcome first-attempt success; secondary outcomes included time, glottic visualization, complications. Random effects models used for data synthesis. Results: Fifteen studies (4582 intubations) rates (RR 1.12; 95% CI: 1.04–1.21; I2 = 87%). It also reduced esophageal 0.44; 0.26–0.75), dental injuries 0.32; 0.16–0.67), poor visualization. No differences found hypoxemia, hypotension, or mortality. Conclusions: enhances reduces specific complications, particularly difficult airways. However, high heterogeneity low evidence warrant further clarify its impact on critical patient outcomes.

Language: Английский

Asymptomatic giant epiglottic cyst causing an unexpectedly difficult airway: a case report DOI Creative Commons

Shunyu Han,

Guoyan Yang

BMC Anesthesiology, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 19, 2025

Giant epiglottic cysts can cause throat discomfort, a sensation of foreign body presence in the throat, and respiratory distress. Furthermore, individuals without symptoms might face difficulties with airway management during anesthesia-related emergencies. In extreme situations, tracheostomy be required. A 61-year-old man, who was diagnosed left heel spur, decided to undergo an arthroscopic osteotomy. The process ventilating anesthesia mask grew more difficult eventually impossible following insertion laryngeal mask. giant cyst identified through video laryngoscopy, which also facilitated successful tracheal intubation. For any surgery, it is essential conduct comprehensive assessment, particularly for risks. Using laryngoscopy promptly enhance intubation success, suitable ventilation tools help failed scenarios. While new technologies facilitate assessment management, mastering techniques like FONA still essential. However, calling all cases remains paramount.

Language: Английский

Citations

0
Video Versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults: A Systematic Review and Meta-Analysis DOI Open Access
Paola Pastora Polo-Pantoja, Rodrigo Ramírez-Rodríguez, Rodrigo Alejandro-Salinas

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(6), P. 1933 - 1933

Published: March 13, 2025

Background/Objectives: Endotracheal intubation in critically ill patients presents significant challenges due to anatomical and physiological complexities, making airway management crucial. Video laryngoscopy (VL) has emerged as a promising alternative direct (DL), offering improved higher success rates. This systematic review meta-analysis evaluated the comparative efficacy safety of VL versus DL adults. Methods: A search was conducted PubMed, Embase, Cochrane Library through August 2024 following PRISMA-2020 guidelines. Randomized controlled trials comparing adult were included. The RoB 2.0 tool assessed bias, GRADE certainty evidence. primary outcome first-attempt success; secondary outcomes included time, glottic visualization, complications. Random effects models used for data synthesis. Results: Fifteen studies (4582 intubations) rates (RR 1.12; 95% CI: 1.04–1.21; I2 = 87%). It also reduced esophageal 0.44; 0.26–0.75), dental injuries 0.32; 0.16–0.67), poor visualization. No differences found hypoxemia, hypotension, or mortality. Conclusions: enhances reduces specific complications, particularly difficult airways. However, high heterogeneity low evidence warrant further clarify its impact on critical patient outcomes.

Language: Английский

Citations

0