{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T07:47:33Z","timestamp":1794383253557,"version":"4.9.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Traumatically injured patients often require emergency intubation of their tracheas. Yet, they present distinct airway challenges, such as anatomic deformities, the need for cervical spine immobilization, diminished physiologic reserve, and logistical hurdles like limited equipment or personnel. In this patient population, both videolaryngoscopy and direct laryngoscopy offer distinct advantages and disadvantages, but current evidence remains inconclusive as to which approach is superior. We conducted a systematic review to determine whether videolaryngoscopy offered higher first-pass success rates than direct laryngoscopy for trauma patients requiring emergency intubation of their tracheas on arrival into the hospital setting. Although the data remain heterogeneous, videolaryngoscopy generally results in noninferior or improved first-pass success rates without significantly increasing complication rates. We conclude that, while providers should choose their initial airway device on an individualized basis, the use of videolaryngoscopy for initial airway management is a reasonable choice for intubation of traumatically injured patients\u2019 tracheas, particularly in the presence of cervical spine immobilization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1213\/ane.0000000000007804","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T22:00:10Z","timestamp":1764021610000},"page":"326-336","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Direct Versus Videolaryngoscopy for Emergency Tracheal Intubation of Trauma Patients in Hospital: A Systematic Review"],"prefix":"10.1213","volume":"143","author":[{"given":"Giancarlo","family":"Atassi","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Louro","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Miami, Florida"},{"name":"Division of Trauma Anesthesiology, Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine\/Ryder Trauma Center, Jackson Health System, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Layal","family":"Hneiny","sequence":"additional","affiliation":[{"name":"Learning, Research and Clinical Information Services Department, Louis Calder Memorial Library, University of Miami Miller School of Medicine, Miami, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Dudaryk","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Miami, Florida"},{"name":"Division of Trauma Anesthesiology, Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine\/Ryder Trauma Center, Jackson Health System, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"R2-20260702","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.emc.2017.08.006","article-title":"Airway management in trauma.","volume":"36","author":"Kovacs","year":"2018","journal-title":"Emerg Med Clin North Am"},{"key":"R3-20260702","first-page":"CD011136","article-title":"Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation.","volume":"2022","author":"Hansel","year":"2022","journal-title":"Cochrane Database Syst Rev"},{"key":"R4-20260702","doi-asserted-by":"crossref","first-page":"e000539","DOI":"10.1136\/tsaco-2020-000539","article-title":"Western trauma association critical decisions in trauma: airway management in adult trauma patients.","volume":"5","author":"Brown","year":"2020","journal-title":"Trauma Surg Acute Care Open"},{"key":"R5-20260702","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1111\/acem.13193","article-title":"Direct versus video laryngoscopy for prehospital intubation: a systematic review and meta-analysis.","volume":"24","author":"Savino","year":"2017","journal-title":"Acad Emerg Med"},{"key":"R7-20260702","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"R9-20260702","doi-asserted-by":"crossref","first-page":"434","DOI":"10.3390\/jcm13020434","article-title":"Maturation of the female pharyngeal airway from adolescence to adulthood.","volume":"13","author":"Chen","year":"2024","journal-title":"J Clin Med"},{"key":"R10-20260702","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1002\/ca.22290","article-title":"Age-related changes of the larynx and trachea assessed by three-dimensional computed tomography in children: application to endotracheal intubation and bronchoscopy.","volume":"27","author":"Seo","year":"2014","journal-title":"Clin Anat"},{"key":"R11-20260702","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1111\/pan.13832","article-title":"Developmental changes of upper airway dimensions in children.","volume":"30","author":"Luscan","year":"2020","journal-title":"Paediatr Anaesth"},{"key":"R12-20260702","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.jclinepi.2016.01.021","article-title":"PRESS peer review of electronic search strategies: 2015 guideline statement.","volume":"75","author":"McGowan","year":"2016","journal-title":"J Clin Epidemiol"},{"key":"R13-20260702","doi-asserted-by":"crossref","first-page":"l4898","DOI":"10.1136\/bmj.l4898","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials.","volume":"366","author":"Sterne","year":"2019","journal-title":"BMJ"},{"key":"R15-20260702","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1097\/TA.0b013e318293103d","article-title":"Effect of video laryngoscopy on trauma patient survival: a randomized controlled trial.","volume":"75","author":"Yeatts","year":"2013","journal-title":"J Trauma Acute Care Surg"},{"key":"R16-20260702","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.tjem.2016.02.001","article-title":"Comparison of the C-MAC video laryngoscope to the Macintosh laryngoscope for intubation of blunt trauma patients in the ED.","volume":"16","author":"Goksu","year":"2016","journal-title":"Turk J Emerg Med"},{"key":"R17-20260702","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.ajem.2021.09.042","article-title":"Direct laryngoscope versus McGRATH video-laryngoscope for tracheal intubation in trauma emergency: a randomised control trial.","volume":"56","author":"Ajith","year":"2022","journal-title":"Am J Emerg Med"},{"key":"R18-20260702","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1056\/NEJMoa2301601","article-title":"Video versus direct laryngoscopy for tracheal intubation of critically ill adults.","volume":"3895","author":"Prekker","year":"2023","journal-title":"N Engl J Med"},{"key":"R19-20260702","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/j.jemermed.2011.05.019","article-title":"Tracheal intubation in the emergency department: a comparison of GlideScope\u00ae video laryngoscopy to direct laryngoscopy in 822 intubations.","volume":"42","author":"Sakles","year":"2012","journal-title":"J Emerg Med"},{"key":"R20-20260702","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1007\/s00268-014-2845-z","article-title":"A comparison of video laryngoscopy to direct laryngoscopy for the emergency intubation of trauma patients.","volume":"39","author":"Michailidou","year":"2015","journal-title":"World J Surg"},{"key":"R21-20260702","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jemermed.2014.06.044","article-title":"Korean Emergency Airway Registry (KEAMR) Investigators. Assessment of emergency airway management techniques in Korea using an online registration system: a multicenter study.","volume":"48","author":"Cho","year":"2015","journal-title":"J Emerg Med"},{"key":"R22-20260702","doi-asserted-by":"crossref","first-page":"e12373","DOI":"10.1002\/emp2.12373","article-title":"Video laryngoscopy is associated with improved first-pass intubation success compared with direct laryngoscopy in emergency department trauma patients.","volume":"2","author":"Li","year":"2021","journal-title":"J Am Coll Emerg Physicians Open"},{"key":"R23-20260702","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1016\/j.annemergmed.2021.07.115","article-title":"Video laryngoscopy is associated with first-pass success in emergency department intubations for trauma patients: a propensity score matched analysis of the National Emergency Airway Registry.","volume":"78","author":"Trent","year":"2021","journal-title":"Ann Emerg Med"},{"key":"R25-20260702","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1016\/j.bja.2020.12.041","article-title":"Effectiveness of intubation devices in patients with cervical spine immobilisation: a systematic review and network meta-analysis.","volume":"126","author":"Singleton","year":"2021","journal-title":"Br J Anaesth"},{"key":"R26-20260702","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1111\/acem.13160","article-title":"The impact of a soiled airway on intubation success in the emergency department when using the glideScope or the direct laryngoscope.","volume":"24","author":"Sakles","year":"2017","journal-title":"Acad Emerg Med"}],"container-title":["Anesthesia &amp; Analgesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1213\/ANE.0000000000007804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:26:50Z","timestamp":1786112810000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1213\/ANE.0000000000007804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1213\/ane.0000000000007804","relation":{},"ISSN":["0003-2999","1526-7598"],"issn-type":[{"value":"0003-2999","type":"print"},{"value":"1526-7598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,24]]}}}