Changes in the first-pass success rate with the GlideScope video laryngoscope and direct laryngoscope: a ten-year observational study in two academic emergency departments
Clinical and Experimental Emergency Medicine
;
(4): 213-218, 2016.
Article
in English
| WPRIM
| ID: wpr-651895
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Seasons
/
Logistic Models
/
Odds Ratio
/
Registries
/
Laryngoscopes
/
Emergencies
/
Emergency Service, Hospital
/
Airway Management
/
Observational Study
/
Hand
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Humans
Language:
English
Journal:
Clinical and Experimental Emergency Medicine
Year:
2016
Type:
Article
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