Cochrane · systematic review · CD009975

Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates

Lingappan, K, Neveln, N, Arnold, JL, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Neonatal2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 16.7%Low 4 · 66.7%Moderate 1 · 16.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Videolaryngoscopy compared with conventional direct laryngoscopy for tracheal intubation in neonates

Population: neonates (0 to 28 days of age) who needed tracheal intubation
6 questions
OutcomeEffectEvidenceStatus / GRADE
Time required for successful intubation
Videolaryngoscopy vs conventional direct laryngoscopy
no estimate extractedNRLow
Downgraded: risk of bias, inconsistency
Number of intubation attempts
Videolaryngoscopy vs conventional direct laryngoscopy
no estimate extractedNRLow
Downgraded: risk of bias, inconsistency
Success rate at first attempt
Videolaryngoscopy vs conventional direct laryngoscopy
RR 1.24 [1.13, 1.37]NRLow
Downgraded: risk of bias, inconsistency
Non‐airway‐related adverse effects: desaturation or bradycardia episodes, or both
Videolaryngoscopy vs conventional direct laryngoscopy
RR 0.94 [0.38, 2.3]NRVery low
Downgraded: risk of bias, imprecision, inconsistency
Non‐airway‐related adverse effects: lowest saturations during intubation
Videolaryngoscopy vs conventional direct laryngoscopy
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Airway‐related adverse effects: airway trauma
Videolaryngoscopy vs conventional direct laryngoscopy
RR 0.21 [0.05, 0.79]NRModerate
Downgraded: risk of bias