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
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 acade...
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2016-12-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-16-148.pdf |
| _version_ | 1797897211428732928 |
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| author | Joon Ki Lee Hyunggu Kang Hyuk Joong Choi |
| author_facet | Joon Ki Lee Hyunggu Kang Hyuk Joong Choi |
| author_sort | Joon Ki Lee |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T07:53:58Z |
| format | Article |
| id | doaj.art-2a91d3ac0bc247478c8ee1c12a6fc214 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:53:58Z |
| publishDate | 2016-12-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-2a91d3ac0bc247478c8ee1c12a6fc2142023-02-23T05:51:11ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252016-12-013421321810.15441/ceem.16.148114Changes in the first-pass success rate with the GlideScope video laryngoscope and direct laryngoscope: a ten-year observational study in two academic emergency departmentsJoon Ki Lee0Hyunggu Kang1Hyuk Joong Choi2 Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, KoreaObjective 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.http://www.ceemjournal.org/upload/pdf/ceem-16-148.pdfintubation, intratracheallaryngoscopeslaryngoscopy |
| spellingShingle | Joon Ki Lee Hyunggu Kang Hyuk Joong Choi 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 intubation, intratracheal laryngoscopes laryngoscopy |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | intubation, intratracheal laryngoscopes laryngoscopy |
| url | http://www.ceemjournal.org/upload/pdf/ceem-16-148.pdf |
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