{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:12:27Z","timestamp":1791396747751,"version":"4.3.3"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>It is not clear whether video laryngoscopy (VL) is associated with a higher first-pass success rate in pediatric patients with limited neck mobility when compared with direct laryngoscopy (DL). We sought to determine the association between the laryngoscopy method and first-pass success.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>In this retrospective cohort study, we examined intubation data extracted from 2 prospectively collected, multicenter, airway management safety databases (National Emergency Airway Registry and the National Emergency Airway Registry for children), obtained during the years 2013\u20132018 in the emergency department. Intubations were included if patients were aged younger than 18 and had limited neck mobility. We compared first-pass success rates for ED intubations that were performed using VL versus DL. We built a structural causal model to account for potential confounders such as age, disease category (medical or trauma condition), other difficult airway characteristics, use of sedatives\/paralytics, and laryngoscopist training level. We also analyzed adverse events as a secondary outcome.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of 34,239 intubations (19,071 in the National Emergency Airway Registry and 15,168 in the National Emergency Airway Registry for children), a total of 341 intubations (1.0%) met inclusion criteria; 168 were performed via VL and 173 were performed via DL. The median age of patients was 124 months (interquartile range, 48\u2013204). There was no difference in first-pass success between VL and DL (79.8% vs 75.7%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.44). Video laryngoscopy was not associated with higher first-pass success (odds ratio, 1.11; 95% confidence interval 0.84\u20131.47, with DL as a comparator) when a structural causal model was used to account for confounders. There was no difference in the adverse events between VL and DL groups (13.7% vs 8.7%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.19).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>In children with limited neck mobility receiving tracheal intubation in the ED, neither VL nor DL was associated with a higher first-pass success rate.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000003058","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T18:19:10Z","timestamp":1695752350000},"page":"454-458","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["First-Pass Success of Intubations Using Video Versus Direct Laryngoscopy in Children With Limited Neck Mobility"],"prefix":"10.1097","volume":"40","author":[{"given":"Dilruba","family":"Khanam","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, UMass Chan Medical School-Baystate, Springfield, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Schoenfeld","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, UMass Chan Medical School-Baystate, Springfield, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Ginsberg-Peltz","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, UMass Chan Medical School-Baystate, Springfield, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucienne","family":"Lutfy-Clayton","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, UMass Chan Medical School-Baystate, Springfield, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Schoenfeld","sequence":"additional","affiliation":[{"name":"Harvard School of Public Health, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blake","family":"Spirko","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, UMass Chan Medical School-Baystate, Springfield, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calvin A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Nishisaki","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the National Emergency Airway Registry (NEAR) and National Emergency Airway Registry for Children (NEAR4KIDS) and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,9,27]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1111\/j.1460-9592.2009.03046.x","article-title":"Validation of the GlideScope video laryngoscope in pediatric patients","volume":"19","year":"2009","journal-title":"Paediatr Anaesth"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1093\/bja\/aep013","article-title":"Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients","volume":"102","year":"2009","journal-title":"Br J Anaesth"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.jclinane.2018.03.006","article-title":"A comparison between video laryngoscopy and 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