Can you see the cords?

RSI in ED

Core competency

Direct laryngoscopy has long been the main stay management of the airway

Advances in technology brings increasing options for video laryngoscopy

Carlson J, Calvin A. Does the Use of Video Laryngoscopy Improve Intubation Outcomes? A

systematic review. Annals of Emergency Medicine. 2014;64;165-6

11 studies included in the SR

Nearly 1200 patients

Outcomes considered

Mean difference for time to intubation

Intubation success rate ratios

Improvement in glottic view

Results

Intubation success rate showed no statistically significant difference

No significant difference in time to intubation

An improvement in the glottic opening using Video Laryngoscopy

ReferencesCarlson J, Calvin A. Does the Use of Video Laryngoscopy Improve Intubation Outcomes? A systematic review. Annals of Emergency Medicine. 2014;64;165-6

Yeatts DJ, Dutton RP, Hu PF, et al. Effect of video laryngoscopy on trauma patient survival: a randomized controlled trial. J Trauma Acute Care Surg. 2013;75:212-219.

Guyette FX, Farrell K, Carlson JN, et al. Comparison of video laryngoscopy and direct laryngoscopy in a critical care transport service. Prehosp Emerg Care. 2012;17:149-154.

Lakticova V, Koenig SJ, Narasimhan M,et al. Video laryngoscopy is associated with increased first pass success and decreased rate of esophageal intubations during urgent endotracheal intubation in a medical intensive care unit when compared to direct laryngoscopy. J Intensive Care Med. 2013.