Sanguanwit Pitsucha, Yuksen Chaiyaporn, Laowattana Nishapa
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Bull Emerg Trauma. 2021 Jul;9(3):118-124. doi: 10.30476/BEAT.2021.89922.1240.
To compare the intubation success rate of the first attempt between Video Laryngoscopy (VDL) and Direct Laryngoscopy (DL) in the emergency department (ED).
This is a study of a randomized control trial includes the patients with acute respiratory failure and the emergency physician who intended to perform intubation in the ED from July 2015 to June 2016. We were selected the patients randomly by the sequentially numbered opaque sealed envelopes technique and were assigned to undergo the first attempt of either VDL (n=78) or DL (n=80). We collected the data information regarding the demographic characteristics, predictors of difficult intubation, rapid sequence intubation, attempt, Cormack-Lehane view, and immediate complications.
The success of VDL in the first attempt was 73.1%, which were tended to be better than DL (58.8%) (=0.060). Glottis view (Cormack-Lehane view 1-2) of VDL was significantly better (88.5%) than of DL (72.5%) (=0.010). The immediate complications were not different.
VDL showed a trend of better success than DL. VDL can increase the first-attempt intubation success and provide a better glottis view in emergency intubation.
The trial was registered in the Thai Clinical Trial Registry, identifier TCTR 20200503003. Registered 16 June 2020, 'Retrospectively registered', http://www.clinicaltrials.in.th/index.php?tp=regtrials&menu=trialsearch&smenu=fulltext&task=search&task2=view1&id=6186.
比较视频喉镜（VDL）和直接喉镜（DL）在急诊科（ED）首次插管成功率。
这是一项随机对照试验研究，纳入了2015年7月至2016年6月在ED有急性呼吸衰竭且拟行插管的患者及急诊医生。我们采用顺序编号的不透明密封信封技术随机选择患者，并将其分为两组，分别接受VDL（n = 78）或DL（n = 80）首次尝试插管。我们收集了有关人口统计学特征、困难插管预测因素、快速顺序插管、尝试次数、Cormack-Lehane喉镜视野分级及即刻并发症的数据信息。
VDL首次尝试成功率为73.1%，倾向于优于DL（58.8%）（P = 0.060）。VDL的声门视野（Cormack-Lehane视野分级1 - 2级）明显优于DL（88.5%对72.5%）（P = 0.010）。即刻并发症无差异。
VDL显示出比DL有更好成功趋势。VDL可提高急诊插管首次尝试成功率并提供更好的声门视野。
该试验在泰国临床试验注册中心注册，标识符为TCTR 20200503003。于2020年6月16日注册，“回顾性注册”，网址：http://www.clinicaltrials.in.th/index.php?tp=regtrials&menu=trialsearch&smenu=fulltext&task=search&task2=view1&id=6186 。
