{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:12:26Z","timestamp":1791396746778,"version":"4.3.3"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2016,8]]},"abstract":"Abstract<\/jats:title>Objectives<\/jats:title>The objective was to compare video\u2010assisted laryngoscopy (VAL<\/jats:styled-content>) to direct laryngoscopy (DL<\/jats:styled-content>) on success rate and complication rate of intubations performed in a pediatric emergency department (ED<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>This is a retrospective cohort study of attempted intubations of children aged 0\u201318 years in a pediatric ED<\/jats:styled-content> between 2004 and 2014 with first attempt by an ED<\/jats:styled-content> provider. In VAL<\/jats:styled-content>, the laryngoscopist attempts direct visualization of the glottis with a C\u2010MAC<\/jats:styled-content> video laryngoscope while the video monitor is used for real\u2010time guidance by a supervisor, back\u2010up visualization for the laryngoscopist should the direct view be inadequate, and confirmation of endotracheal tube passage through the vocal cords. We performed univariate comparisons of intubations using DL<\/jats:styled-content> to intubations using VAL<\/jats:styled-content> on rates of first\u2010pass success, complications, and whether the patient was successfully intubated by an ED<\/jats:styled-content> provider. We then created a logistic regression model to adjust for provider experience level, difficult airway characteristics, and indications for intubation to compare intubations using DL<\/jats:styled-content> to intubations using VAL<\/jats:styled-content> for each outcome.<\/jats:p><\/jats:sec>Results<\/jats:title>We identified 452 endotracheal intubations of 422 unique patients, of which 445 intubations had a first attempt by an ED<\/jats:styled-content> provider. Six intubations were excluded due to insufficient information available in the record. Of the included intubations, 240 (55%) were attempted with DL<\/jats:styled-content> and 199 (45%) with VAL<\/jats:styled-content>. The overall first\u2010pass success rate was 71% in the DL<\/jats:styled-content> group and 72% in the VAL<\/jats:styled-content> group. After adjustment for covariates, the first\u2010pass success rate was similar between laryngoscopy approaches (adjusted odds ratio = 1.23, 95% confidence interval = 0.78 to 1.94).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>We found no difference between DL<\/jats:styled-content> and VAL<\/jats:styled-content> with regard to first\u2010pass intubation success rate, complication rate, or rate of successful intubation by ED<\/jats:styled-content> providers for children undergoing intubation in a pediatric ED<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.13015","type":"journal-article","created":{"date-parts":[[2016,5,24]],"date-time":"2016-05-24T01:54:11Z","timestamp":1464054851000},"page":"870-877","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Comparison Between Direct and Video\u2010assisted Laryngoscopy for Intubations in a Pediatric Emergency Department"],"prefix":"10.1111","volume":"23","author":[{"given":"Matthew A.","family":"Eisenberg","sequence":"first","affiliation":[{"name":"Division of Emergency Medicine Boston Children's Hospital Harvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israel","family":"Green\u2010Hopkins","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine Boston Children's Hospital Harvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Werner","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine Boston Medical Center Boston University School of Medicine Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Nagler","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine Boston Children's Hospital Harvard Medical School Boston 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