儿科视频喉镜检查：探寻临床证据
Videolaryngoscopy in paediatrics: in search of the clinical evidence.
作者信息
Disma Nicola, Marchesini Vanessa, Afshari Arash, Riva Thomas, Matava Clyde
机构信息
Unit for Research in Anaesthesia, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Department of Anaesthesia, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
出版信息
Br J Anaesth. 2025 Mar;134(3):637-640. doi: 10.1016/j.bja.2024.12.003. Epub 2025 Jan 7.
Abstract
Despite the numerous recent trials, systematic reviews and meta-analyses have not conclusively shown superiority of videolaryngoscopy over other techniques for tracheal intubation of children. Clinical trials have shown significant differences using various outcome measures, but the overall clinical evidence remains weak. An international group of experts is currently working on developing good clinical research practice guidelines for paediatric airway management research, with the ultimate aim of identifying a core set of outcomes to be applied to develop future robust and comparable trials.
摘要
尽管最近进行了大量试验，但系统评价和荟萃分析尚未确凿表明在儿童气管插管方面，视频喉镜比其他技术更具优势。临床试验使用各种结局指标显示出显著差异，但总体临床证据仍然薄弱。一个国际专家小组目前正在致力于制定儿童气道管理研究的良好临床研究实践指南，最终目的是确定一组核心结局指标，用于开展未来强有力且具有可比性的试验。
相似文献
1
Videolaryngoscopy in paediatrics: in search of the clinical evidence.儿科视频喉镜检查：探寻临床证据
Br J Anaesth. 2025 Mar;134(3):637-640. doi: 10.1016/j.bja.2024.12.003. Epub 2025 Jan 7.
2
Paediatric video laryngoscopy and airway management: What's the clinical evidence?儿科视频喉镜和气道管理：有哪些临床证据？
Anaesth Crit Care Pain Med. 2018 Oct;37(5):459-466. doi: 10.1016/j.accpm.2017.11.018. Epub 2018 Jan 10.
3
Comparing videolaryngoscopy and flexible bronchoscopy to rescue failed direct laryngoscopy in children: a propensity score matched analysis of the Pediatric Difficult Intubation Registry.比较视频喉镜和纤维支气管镜用于挽救儿童直接喉镜插管失败：儿科困难插管登记处的倾向评分匹配分析
Anaesthesia. 2025 Jun;80(6):625-635. doi: 10.1111/anae.16576. Epub 2025 Mar 20.
4
Universal paediatric videolaryngoscopy and glottic view grading: a prospective observational study.小儿通用可视喉镜及声门显露分级：一项前瞻性观察研究。
Anaesthesia. 2024 Oct;79(10):1062-1071. doi: 10.1111/anae.16366. Epub 2024 Jul 11.
5
Videolaryngoscopy vs. direct laryngoscopy in class 2 and 3 obesity: a systematic review, meta-analysis and trial sequential analysis of randomised controlled trials.二级和三级肥胖患者中视频喉镜检查与直接喉镜检查的比较：一项随机对照试验的系统评价、荟萃分析和试验序贯分析
Anaesthesia. 2025 Jun;80(6):684-693. doi: 10.1111/anae.16578. Epub 2025 Apr 8.
6
The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry.GlideScope® 视频喉镜与直接喉镜在困难插管儿童中的疗效比较：来自小儿困难插管登记处的分析。
Br J Anaesth. 2017 Nov 1;119(5):984-992. doi: 10.1093/bja/aex344.
7
Videolaryngoscopy vs. direct Macintosh laryngoscopy in tracheal intubation in adults: a ranking systematic review and network meta-analysis.成人气管插管中视频喉镜与直接麦金托什喉镜的比较：一项排序系统评价和网状Meta分析
Anaesthesia. 2022 Mar;77(3):326-338. doi: 10.1111/anae.15626. Epub 2021 Dec 1.
8
The emerging role of awake videolaryngoscopy in airway management.清醒视频喉镜在气道管理中的新兴作用。
Anaesthesia. 2018 Sep;73(9):1058-1061. doi: 10.1111/anae.14324. Epub 2018 May 23.
9
Routine Use of Videolaryngoscopy in Airway Management.常规使用视频喉镜进行气道管理。
Int Anesthesiol Clin. 2024 Oct 1;62(4):48-58. doi: 10.1097/AIA.0000000000000450. Epub 2024 Aug 15.
10
Learning tracheal intubation with a hyperangulated videolaryngoscopy blade: sub-analysis of a randomised controlled trial.使用超角视频喉镜叶片学习气管插管：一项随机对照试验的亚分析。
Anaesthesia. 2025 Apr;80(4):395-403. doi: 10.1111/anae.16491. Epub 2024 Nov 27.
本文引用的文献
1
Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants.视频喉镜与直接喉镜用于新生儿紧急气管插管的比较。
N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Epub 2024 May 5.
2
Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines.新生儿和婴儿的气道管理：欧洲麻醉与重症监护学会和《英国麻醉学杂志》联合指南
Br J Anaesth. 2024 Jan;132(1):124-144. doi: 10.1016/j.bja.2023.08.040. Epub 2023 Nov 29.
3
Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines.新生儿和婴儿的气道管理：欧洲麻醉学会和重症监护学会与英国麻醉学会联合指南。
Eur J Anaesthesiol. 2024 Jan 1;41(1):3-23. doi: 10.1097/EJA.0000000000001928. Epub 2023 Dec 13.
4
Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates.视频喉镜与直接喉镜用于新生儿气管插管的比较。
Cochrane Database Syst Rev. 2023 May 12;5(5):CD009975. doi: 10.1002/14651858.CD009975.pub4.
5
"A statistically non-significant difference": Do we have to change the rules or our way of thinking?“统计学上无显著差异”：我们是否必须改变规则或思维方式？
Iran J Vet Res. 2022;23(4):300-301. doi: 10.22099/IJVR.2022.44044.6470.
6
Direct versus video laryngoscopy with standard blades for neonatal and infant tracheal intubation with supplemental oxygen: a multicentre, non-inferiority, randomised controlled trial.直接喉镜与视频喉镜使用标准镜片对新生儿和婴儿气管插管并补充氧气的比较：一项多中心、非劣效性、随机对照试验
Lancet Child Adolesc Health. 2023 Feb;7(2):101-111. doi: 10.1016/S2352-4642(22)00313-3. Epub 2022 Nov 24.
7
Videolaryngoscopes versus direct laryngoscopes in children: Ranking systematic review with network meta-analyses of randomized clinical trials.视频喉镜与直接喉镜在儿童中的应用：基于随机临床试验的网络荟萃分析的系统评价排序。
Paediatr Anaesth. 2022 Sep;32(9):1000-1014. doi: 10.1111/pan.14521. Epub 2022 Jul 13.
8
Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia: A prospective randomised controlled trial.视频喉镜与直接喉镜用于小儿麻醉中择期气道管理的比较：一项前瞻性随机对照试验。
Eur J Anaesthesiol. 2021 Nov 1;38(11):1187-1193. doi: 10.1097/EJA.0000000000001595.
9
Difficult tracheal intubation in neonates and infants. NEonate and Children audiT of Anaesthesia pRactice IN Europe (NECTARINE): a prospective European multicentre observational study.新生儿和婴儿困难气管插管。新生儿和儿童麻醉实践欧洲听力调查（NECTARINE）：一项前瞻性欧洲多中心观察研究。
Br J Anaesth. 2021 Jun;126(6):1173-1181. doi: 10.1016/j.bja.2021.02.021. Epub 2021 Apr 1.
10
First-attempt success rate of video laryngoscopy in small infants (VISI): a multicentre, randomised controlled trial.小婴儿可视喉镜（VISI）首次尝试成功率：一项多中心随机对照试验。
Lancet. 2020 Dec 12;396(10266):1905-1913. doi: 10.1016/S0140-6736(20)32532-0.
Zotero 插件