Videolaryngoscope versus Macintosh laryngoscope for tracheal intubation in adults with obesity: A systematic review and meta-analysis Hiroshi Hoshijima,

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Videolaryngoscope versus Macintosh laryngoscope for tracheal intubation in adults with obesity: A systematic review and meta-analysis Hiroshi Hoshijima, DDS, Yohei Denawa, MD, Asako Tominaga, MD, China Nakamura, MD, Toshiya Shiga, MD, Hiroshi Nagasaka, MD Journal of Clinical Anesthesia Volume 44, Pages 69-75 (February 2018) DOI: 10.1016/j.jclinane.2017.11.008 Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 1 Meta-analysis flow chart. RCT, randomized controlled trial. Journal of Clinical Anesthesia 2018 44, 69-75DOI: (10.1016/j.jclinane.2017.11.008) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 2 Forest plot of the sucess rate of tracheal intubation using the videolaryngoscopes compared with the Macintosh laryngoscope. The centre of each square represents the relative risk for individual trials, and the corresponding horizontal line represents the 95% CI. The diamonds represent the pooled results. Journal of Clinical Anesthesia 2018 44, 69-75DOI: (10.1016/j.jclinane.2017.11.008) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 3 Forest plot of intubation time for tracheal intubation using the videolaryngoscopes compared with the Macintosh laryngoscope. The centre of each square represents the weighted mean difference for individual trials, and the corresponding horizontal line represents the 95% CI. The diamonds represent the pooled results. Journal of Clinical Anesthesia 2018 44, 69-75DOI: (10.1016/j.jclinane.2017.11.008) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 4 Forest plot of glottic visualisation with the videolaryngoscopes compared with the Macintosh laryngoscope, Cormack–Lehane grade 1, 2 vs other grades. The centre of each square represents the relative risks for individual trials, and the corresponding horizontal line represents the 95% CI. The diamonds represent the pooled results. Journal of Clinical Anesthesia 2018 44, 69-75DOI: (10.1016/j.jclinane.2017.11.008) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 5 The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Journal of Clinical Anesthesia 2018 44, 69-75DOI: (10.1016/j.jclinane.2017.11.008) Copyright © 2017 Elsevier Inc. Terms and Conditions

Fig. 6 Green circles, red circles, and yellow circles indicate “low risk of bias”, “high risk of bias”, and “unclear risk of bias”, respectively. Journal of Clinical Anesthesia 2018 44, 69-75DOI: (10.1016/j.jclinane.2017.11.008) Copyright © 2017 Elsevier Inc. Terms and Conditions