Cochrane · systematic review · CD011791

Orotracheal intubation in infants performed with a stylet versus without a stylet

O'Shea, JE, O'Gorman, J, Gupta, A, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

NeonatalAMSTAR 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
10
current version
GRADE rated
7
No studies
3
Included studies
NR
No studies 3 · 30%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 10%Moderate 6 · 60%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: neonates requiring endotracheal intubation
10 questions
OutcomeEffectEvidenceStatus / GRADE
First intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up)
RR 1.08 [0.88, 1.32]NRModerate
Downgraded: risk of bias, imprecision
Gestational age of the infant
no estimate extractedNRNo studies
Professional category of the intubator ‐ fellow: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up)
RR 0.94 [0.69, 1.29]NRLow
Downgraded: risk of bias, imprecision
Professional category of the intubator ‐ resident: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up)
RR 1.17 [0.9, 1.52]NRModerate
Downgraded: risk of bias, imprecision
Level of experience of the intubator
no estimate extractedNRNo studies
Premedication given ‐ no premedication given: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up)
RR 0.98 [0.72, 1.32]NRModerate
Downgraded: risk of bias, imprecision
Timing of intubation ‐ just after birth in the delivery room: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up)
RR 0.98 [0.72, 1.32]NRModerate
Downgraded: risk of bias, imprecision
Timing of intubation ‐ following admission to NICU: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up)
RR 1.18 [0.89, 1.55]NRModerate
Downgraded: risk of bias, imprecision
Type of stylet
no estimate extractedNRNo studies
Weight < 1000 g (outcome achieved at time of intubation attempt and not followed up)
RR 0.89 [0.67, 1.18]NRModerate
Downgraded: risk of bias, imprecision