Early experience in use of videolaryngoscopy by a neonatal pre-hospital and retrieval service.

David Lacquiere, Jacob Smith, Neel Bhanderi, Francis Lockie, Jacintha Pickles, Mardi Steere, John Craven, Stefan Mazur

Emergency medicine Australasia · 2024-01-30 · Observational study

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Abstract

OBJECTIVE: To describe initial experience with use of the Glidescope Go videolaryngoscope by an Australian neonatal pre-hospital and retrieval service. METHODS: We conducted a 31-month retrospective review of an airway registry for neonates intubated by MedSTAR Kids clinicians. RESULTS: Twenty-two patients were intubated using the Glidescope Go, compared with 50 using direct laryngoscopy. First-pass success was 17/22 (77.3%) with the Glidescope Go and 38/50 (76%) with direct laryngoscopy. Complications occurred in 7/22 (32%) and 8/50 (16%), respectively. CONCLUSIONS: On initial review of this practice change, videolaryngoscopy allows neonatal tracheal intubation with a comparable success rate to direct laryngoscopy in a pre-hospital and retrieval setting.

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Tags

Critical care & advanced paramedics · Interfacility & critical care transport · Endotracheal intubation · Neonates · Video laryngoscopy

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