Video laryngoscopy increased rate of successful intubations in neonates, finds study
A recent study published in the New England Journal of Medicine highlighted a critical aspect of neonatal care in endotracheal intubation. This vital procedure is often performed in neonates in the delivery room or neonatal intensive care unit (NICU) and can be fraught with challenges in achieving successful intubation on the first attempt.
The study revealed that repeated attempts at endotracheal intubation in neonates are associated with increased adverse events. Traditionally, clinicians have relied on direct laryngoscopy which helps to visually inspect the airway using a laryngoscope. However, this approach often falls short with fewer than half of first attempts proving successful.
This calls for video laryngoscopy which is equipped with a camera at the tip of the blade that provides a real-time view of the airway on a screen. This technology showed promise in enhancing the success rates of intubation in adults and children, yet, its effectiveness in neonates remained uncertain until now.
The study was conducted at a single center and randomly assigned neonates to either the video-laryngoscopy group or the direct-laryngoscopy group. The results were stratified based on gestational age and the primary outcome measured was successful intubation on the first attempt which was determined by exhaled carbon dioxide detection.
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