{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T10:55:16Z","timestamp":1753354516341},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T00:00:00Z","timestamp":1637539200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T00:00:00Z","timestamp":1637539200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012681","name":"Universit\u00e4tsklinikum K\u00f6ln","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012681","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Anesthesiol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>VieScope is a new type of laryngoscope, with a straight, transparent and illuminated blade, allowing for direct line of sight towards the larynx. In addition, VieScope is disposed of after single patient use, which can avoid cross-contaminations of contagious material. This has gained importance especially when treating patients with highly contagious infectious diseases, such as during the SARS-CoV2 pandemic. In this context, VieScope has not been evaluated yet in a clinical study.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material and methods<\/jats:title>\n                <jats:p>This study compared intubation with VieScope to video-laryngoscopy (GlideScope) in normal and difficult airway in a standardized airway manikin in a randomized controlled simulation trial. Thirty-five medical specialists were asked to perform endotracheal intubation in full personal protective equipment (PPE). Primary endpoint was correct tube position. First-pass rate\u00a0(i.e., success rate at the first attempt), time until intubation and time until first correct ventilation were registered as secondary endpoints.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>For correct tracheal tube placement, there was no significant difference between VieScope and GlideScope in normal and difficult airway conditions. VieScope had over 91% fist-pass success rate in normal airway setting. VieScope had a comparable success rate to GlideScope in difficult airway, but had a significantly longer time until intubation and time until ventilation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>VieScope and GlideScope had high success rates in normal as well as in difficult airway. There was no unrecognized esophageal intubation in either group. Overall time for intubation was longer in the VieScope group, though in an acceptable range given in literature.<\/jats:p>\n                <jats:p>Results from this simulation study suggest that VieScope may be an acceptable alternative for tracheal intubation in full PPE.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Trial Registration<\/jats:title>\n                <jats:p>The study was registered at the German Clinical Trials Register <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.drks.de\">www.drks.de<\/jats:ext-link> (Registration date: 09\/11\/2020; TrialID: \n<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.drks.de\/drks_web\/navigate.do?navigationId=trial.HTML&amp;TRIAL_ID=DRKS00023406\">DRKS00023406<\/jats:ext-link>).<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12871-021-01502-7","type":"journal-article","created":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T05:02:22Z","timestamp":1637557342000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment \u2013 a randomized, controlled simulation trial"],"prefix":"10.1186","volume":"21","author":[{"given":"Hannes","family":"Ecker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Kolvenbach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Herff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang A.","family":"Wetsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,11,22]]},"reference":[{"key":"1502_CR1","doi-asserted-by":"publisher","unstructured":"Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72314 cases from the Chinese center for disease control and prevention. JAMA. 2020; https:\/\/doi.org\/10.1001\/jama.2020.2648.","DOI":"10.1001\/jama.2020.2648"},{"key":"1502_CR2","doi-asserted-by":"publisher","unstructured":"Peng PHW, Ho PL, Hota SS. Outbreak of a new corona virus: what anesthetist should know. BJA 2020. https:\/\/doi.org\/10.1016\/j.bja.2020.02.008","DOI":"10.1016\/j.bja.2020.02.008"},{"key":"1502_CR3","doi-asserted-by":"publisher","unstructured":"Chang D Xu H Rebaza A, Sharma L Cruz CSD protecting health-care workers from subclinical coronavirus infection. Lancet Respir Med 2020; (published online Feb 13.) https:\/\/doi.org\/10.1016\/S2213-2600(20)30066-7","DOI":"10.1016\/S2213-2600(20)30066-7"},{"key":"1502_CR4","unstructured":"Sch\u00e4lte G et al. Empfehlungen von DGAI und BDA Besonderheiten des Atemwegsmanagements bei Patienten mit vermuteter oder gesicherter COVID-19 Erkrankung und bei Patienten ohne Infektion w\u00e4hrend der Corona-Pandemie https:\/\/www.bda.de\/docman\/alle-dokumente-fuer-suchindex\/oeffentlich\/aktuelles-1\/2055-supplement-8-2020-leitlinie-covid-19\/file.html"},{"key":"1502_CR5","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1097\/EJA.0b013e3283269ff4","volume":"26","author":"GL Savoldelli","year":"2009","unstructured":"Savoldelli GL, Schiffer E, Abegg C, et al. Learning curves of the Glidescope, the McGrath and the Airtraq laryngoscopes: a manikin study. Eur J Anaesthesiol. 2009;26:554\u20138.","journal-title":"Eur J Anaesthesiol"},{"key":"1502_CR6","doi-asserted-by":"publisher","first-page":"1050","DOI":"10.1111\/j.1399-6576.2010.02285.x","volume":"54","author":"P Niforopoulou","year":"2010","unstructured":"Niforopoulou P, Pantazopoulos I, Demestiha T, et al. Video-laryngoscopes in the adult airway management: a topical review of the literature. Acta Anaesthesiol Scand. 2010;54:1050\u201361.","journal-title":"Acta Anaesthesiol Scand"},{"key":"1502_CR7","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1111\/j.1365-2044.2010.06335.x","volume":"65","author":"CM Ayoub","year":"2010","unstructured":"Ayoub CM, Kanazi GE, Al Alami A, et al. Tracheal intubation following training with the GlideScope compared to direct laryngoscopy. Anaesthesia. 2010;65:674\u20138.","journal-title":"Anaesthesia"},{"key":"1502_CR8","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1097\/ALN.0b013e3181e0ef5c","volume":"113","author":"D Sharma","year":"2010","unstructured":"Sharma D. Is GlideScope the best way to intubate? Anesthesiology. 2010;113:258\u20139 author reply 259.","journal-title":"Anesthesiology"},{"key":"1502_CR9","doi-asserted-by":"crossref","unstructured":"Lewis SR, Butler AR, Parker J Cook TM, Smith AF. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database Syst Rev. 2016;11(11):CD011136.","DOI":"10.1002\/14651858.CD011136.pub2"},{"key":"1502_CR10","doi-asserted-by":"crossref","unstructured":"Herff H, Wetsch WA, Finke S, Dusse F, Mitterlechner T, Paal P, Wenzel V, Schroeder DC. Oxygenation laryngoscope vs. nasal standard and nasal high flow oxygenation in a technical simulation of apnoeic oxygenation. BMC Emerg Med 2021;21(1):12.","DOI":"10.1186\/s12873-021-00407-5"},{"issue":"1","key":"1502_CR11","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1186\/s12871-020-01216-2","volume":"20","author":"DC Schroeder","year":"2020","unstructured":"Schroeder DC, Wetsch WA, Finke SR, Dusse F, B\u00f6ttiger BW, Herff H. Apneic laryngeal oxygenation during elective fiberoptic intubation - a technical simulation. BMC Anesthesiol. 2020;20(1):300.","journal-title":"BMC Anesthesiol"},{"issue":"4","key":"1502_CR12","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1097\/ACO.0000000000000892","volume":"33","author":"DW Lee","year":"2020","unstructured":"Lee DW, Ma M, Parotto M, W\u0105sowicz M. Intubation outside of the operating room: new challenges and opportunities in COVID-19 era. Curr Opin Anaesthesiol. 2020;33(4):608\u201311.","journal-title":"Curr Opin Anaesthesiol"},{"key":"1502_CR13","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1186\/s12871-019-0894-4","volume":"19","author":"U Yoon","year":"2019","unstructured":"Yoon U, Mojica J, Wiltshire M, et al. Emergent airway management outside of the operating room \u2013 a retrospective review of patient characteristics, complications and ICU stay. BMC Anesthesiol. 2019;19:220.","journal-title":"BMC Anesthesiol"},{"issue":"1","key":"1502_CR14","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1136\/emj.2008.066456","volume":"27","author":"JH Yang","year":"2010","unstructured":"Yang JH, Kim YM, Chung HS, Cho J, Lee HM, Kang GH, Kim EC, Lim T, Cho YS. Comparison of four manikins and fresh frozen cadaver models for direct laryngoscopic orotracheal intubation training. Emerg Med J. 2010;27(1):13\u20136.","journal-title":"Emerg Med J"}],"container-title":["BMC Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-021-01502-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12871-021-01502-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-021-01502-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T05:02:24Z","timestamp":1637557344000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcanesthesiol.biomedcentral.com\/articles\/10.1186\/s12871-021-01502-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,22]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1502"],"URL":"https:\/\/doi.org\/10.1186\/s12871-021-01502-7","relation":{},"ISSN":["1471-2253"],"issn-type":[{"value":"1471-2253","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,22]]},"assertion":[{"value":"30 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 November 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 November 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Ethics Committee of the University of Cologne approved the study on 26.10.2020 (ID 20-1465_1; Head: Prof. Dr. Drzezga). This manuscript was written in accordance with CONSORT guidelines.Thirty-five physicians, who were all medical specialists from the Department for Anesthesiology and Intensive Care Medicine at the University Hospital of Cologne, volunteered to participate after giving written and informed consent.The study was performed in accordance with the ethical standards of the Declaration of Helsinki (1964) and its subsequent amendments.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"There are no competing interests in regard of this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"288"}}