Tracheal intubation of pediatric manikins during ongoing chest compressions. Does Glidescope® videolaryngoscope improve pediatric residents' performance?
European Journal of Pediatrics · 2014-05-06 · Randomised trial
Abstract
UNLABELLED: Our objective was to test the ability of pediatric residents to intubate the trachea of infant and child manikins during continuous chest compressions (CC) by means of indirect videolaryngoscopy with Glidescope® versus standard direct laryngoscopy. A randomized crossover simulation trial was designed. Twenty-three residents trained to intubate child and infant manikins were eligible for the study. They were asked to perform tracheal intubation in manikins assisted by both standard laryngoscopy and Glidescope® while a colleague delivered uninterrupted chest compressions. In the infant cardiac arrest scenario, the median (IQR) total time for intubation was significantly shorter with the Miller laryngoscope [28.2 s (20.4-34.4)] than with Glidescope® [38.0 s (25.3-50.5)] (p = 0.021). The number of participants who needed more than 30 s to intubate the manikin was also significantly higher with Glidescope® (n = 13) than with the Miller laryngoscope (n = 7, p = 0.01). In the child scenario, the total time for intubation and number of intubation failures were similar with Macintosh and Glidescope® laryngoscopes. The participants' subjective difficulty of the procedure was similar for direct and videolaryngoscopy. CONCLUSION: In simulated infant and child cardiac arrest scenarios, pediatric residents are able to intubate the trachea during CC. The videolaryngoscope Glidescope® does not improve performance in this setting.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Video laryngoscopy · Children · Endotracheal intubation
Related articles
- Comparison of optic laryngoscope Airtraq(®) and Miller laryngoscope for tracheal intubation during infant cardiopulmonary resuscitation. (Resuscitation, 2011)
- Video Versus Direct Laryngoscope for Pediatric Intubation During Cardiopulmonary Resuscitation: A Systematic Review and Meta-analysis of Simulation-based Trials. (Pediatr Emerg Care, 2026)
- Endotracheal intubation during chest compressions in the pediatric simulation setting: a systematic review and meta-analysis (Signa Vitae, 2022)
- Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in children (excluding neonates). (Cochrane Database Syst Rev, 2017)
- Practice Patterns and Performance of Pediatric Air Medical Tracheal Intubation: A National Multisite Cohort Study. (Prehosp Emerg Care, 2026)
- Orotracheal Intubation With 3D-Printed Videolaryngoscope, Commercially Available Videolaryngoscope, and Direct Laryngoscopy: Comparative Study in a Pediatric Manikin. (Pediatr Emerg Care, 2025)