Can you see the cords?. RSI in ED Core competency Direct laryngoscopy has long been the main stay management of the airway Advances in technology brings.

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Presentation transcript:

Can you see the cords?

RSI in ED Core competency Direct laryngoscopy has long been the main stay management of the airway Advances in technology brings increasing options for video laryngoscopy

Carlson J, Calvin A. Does the Use of Video Laryngoscopy Improve Intubation Outcomes? A systematic review. Annals of Emergency Medicine. 2014;64;165-6

11 studies included in the SR Nearly 1200 patients

Outcomes considered Mean difference for time to intubation Intubation success rate ratios Improvement in glottic view

Results Intubation success rate showed no statistically significant difference No significant difference in time to intubation An improvement in the glottic opening using Video Laryngoscopy

References Carlson J, Calvin A. Does the Use of Video Laryngoscopy Improve Intubation Outcomes? A systematic review. Annals of Emergency Medicine. 2014;64;165-6 Yeatts DJ, Dutton RP, Hu PF, et al. Effect of video laryngoscopy on trauma patient survival: a randomized controlled trial. J Trauma Acute Care Surg. 2013;75: Guyette FX, Farrell K, Carlson JN, et al. Comparison of video laryngoscopy and direct laryngoscopy in a critical care transport service. Prehosp Emerg Care. 2012;17: Lakticova V, Koenig SJ, Narasimhan M, et al. Video laryngoscopy is associated with increased first pass success and decreased rate of esophageal intubations during urgent endotracheal intubation in a medical intensive care unit when compared to direct laryngoscopy. J Intensive Care Med