Changes in the first-pass success rate with the GlideScope video laryngoscope and direct laryngoscope: a ten-year observational study in two academic emergency departmentsopen access
- Authors
- Lee, Joon Ki; Kang, Hyunggu; Choi, Hyuk Joong
- Issue Date
- Dec-2016
- Publisher
- SEOUL KOREAN SOC EMERGENCY MEDICINE
- Keywords
- Intubation; intratracheal; Laryngoscopes; Laryngoscopy
- Citation
- CLINICAL AND EXPERIMENTAL EMERGENCY MEDICINE, v.3, no.4, pp.213 - 218
- Indexed
- KCI
OTHER
- Journal Title
- CLINICAL AND EXPERIMENTAL EMERGENCY MEDICINE
- Volume
- 3
- Number
- 4
- Start Page
- 213
- End Page
- 218
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/153486
- DOI
- 10.15441/ceem.16.148
- ISSN
- 2383-4625
- Abstract
- Objective: The aim of this study was to assess the success rate of the GlideScope video laryngoscope (GVL) and direct laryngoscope (DL) over ten years in two academic emergency departments.
Methods: We used adult intubation data using DL and GVL collected from airway management registries at two academic emergency departments. We analyzed changes in first-pass success (FPS) rate by device and operator training level. We conducted a multivariate logistic regression analysis to predict the FPS according to time period.
Results: Over the study period (2006 to 2010, season I; 2013-2015, season II) the DL usage rate dropped from 91.6% to 45.0% while the GVL usage rate increased from 8.4% to 55.4%. The FPS rate using DL also declined from 90.8% in 2007 to 75.5% in 2015. On the other hand, the FPS rate using GVL increased from 87.8% to 95.2%. With DL, all operators' FPS rate declined by approximately 10% in season II compared to season I. The FPS rate with GVL was significantly higher in the providers of postgraduate year over 3 years (P=0.043). Multivariate logistic regression analysis revealed an adjusted odds ratio for GVL FPS of 0.799 during season I (P=0.274). However, the adjusted odds ratio for GVL FPS was 3.744 during season II (P<0.001).
Conclusion: We found that the FPS rates of GVL have slightly increased but DL's FPS rate has significantly decreased during the last ten years.
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