Clin Exp Emerg Med.  2016 Dec;3(4):213-218. 10.15441/ceem.16.148.

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

• Lee JK
• Kang H
• Choi HJ

• KMID: 2367489
• DOI: http://doi.org/10.15441/ceem.16.148

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.

Keyword

Intubation, intratracheal; Laryngoscopes; Laryngoscopy

MeSH Terms

Adult
Airway Management
Emergencies*
Emergency Service, Hospital*
Hand
Humans
Intubation
Intubation, Intratracheal
Laryngoscopes*
Laryngoscopy
Logistic Models
Observational Study*
Odds Ratio
Registries
Seasons