Cochrane · systematic review · CD011413
Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in children (excluding neonates)
Abdelgadir, IS, Phillips, RS, Singh, D, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
AnaesthesiaAMSTAR 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 4 · 66.7%Low 2 · 33.3%Moderate 0 · 0%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
Comparison
Population: tracheal intubation in children (excluding neonates)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Intubation time | no estimate extracted | 12 studies · 798 participants | Very low Downgraded: risk of bias, inconsistency, indirectness |
Number of attempts at intubation and unsuccessful intubations assessed as intubation at first attempt | RR 0.96 [0.91, 1.02] | 11 studies · 749 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Number of attempts at intubation and unsuccessful intubations assessed as unsuccessful or required more than 2 attempts at intubation | RR 4.93 [1.33, 18.31] | 5 studies · 263 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Adverse haemodynamic response to endotracheal intubation assessed as changes in oxygen saturation | no estimate extracted | 5 studies · 272 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Adverse haemodynamic response to endotracheal intubation assessed as other adverse haemodynamic response | no estimate extracted | 2 studies · 100 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Other adverse effects of intubation in children, including trauma to oral, pharyngeal, and laryngeal structures, assessed by visual or laryngoscopic examination | no estimate extracted | 5 studies · 244 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |