{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T09:30:42Z","timestamp":1762075842392,"version":"build-2065373602"},"reference-count":18,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T00:00:00Z","timestamp":1668729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Wroclaw Medical University","award":["SUBZ.E240.22.009"],"award-info":[{"award-number":["SUBZ.E240.22.009"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>This study aimed to compare the intubation effectiveness of the b\u00e9b\u00e9 Vie Scope\u2122 (VieScope) and direct laryngoscopy for emergency intubation in a pediatric manikin model performed by paramedics with and without personal protective equipment for aerosol generating procedures (PPE-AGP). Participants performed endotracheal intubation using VieScope and standard Macintosh laryngoscope (MAC) in two research scenarios: (1) without PPE-AGP, and (2) with PPE-AGP. Fifty-one paramedics without any previous experience with the VieScope participated in this study. In the PPE-AGP scenario, in the VieScope group, the percentage of successful tracheal intubation on the first attempt was higher compared to the MAC group (94.1 vs. 78.4%, p = 0.031), intubation time was shorter (29.8 vs. 33.9 s, p &lt; 0.001), and percentage of glottic opening (POGO) score was higher 91.0 vs 77.8 (p &lt; 0.001). On the Cormack\u2013Lehane scale, intubation with VieScope intubation was associated with higher scores rated at 1 (64.7 vs. 29.4%) than in the MAC group (p = 0.001). For intubation in the non-PPE scenario, there were no statistically significant differences between VieScope and MAC in relation to above parameters. Summarize, the b\u00e9b\u00e9 VieScope\u2122 under PPE-AGP wearing conditions has proven to be a useful device for airway management in children providing better visualization of the larynx, better intubation conditions, and a higher success rate of tracheal intubation on the first attempt and reduced intubation time compared to the standard Macintosh laryngoscope.<\/jats:p>","DOI":"10.3390\/children9111774","type":"journal-article","created":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T03:07:23Z","timestamp":1669000043000},"page":"1774","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A Comparison of the b\u00e9b\u00e9 VieScope\u2122 and Direct Laryngoscope for Use While Wearing PPE-AGP: A Randomized Crossover Simulation Trial"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7159-4040","authenticated-orcid":false,"given":"Pawel","family":"Wieczorek","sequence":"first","affiliation":[{"name":"Pediatric Intensive Care Unit (PICU), John Paul II Upper Silesian Health Centre in Katowice, 40-752 Katowice, Poland"},{"name":"Research Unit, Polish Society of Disaster Medicine, 05-806 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0973-5455","authenticated-orcid":false,"given":"Lukasz","family":"Szarpak","sequence":"additional","affiliation":[{"name":"Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, 15-027 Bialystok, Poland"},{"name":"Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine Houston, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agata","family":"Dabrowska","sequence":"additional","affiliation":[{"name":"Department of Rescue and Disaster Medicine, Poznan University of Medical Sciences, 60-806 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2140-9732","authenticated-orcid":false,"given":"Michal","family":"Pruc","sequence":"additional","affiliation":[{"name":"Research Unit, Polish Society of Disaster Medicine, 05-806 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alla","family":"Navolokina","sequence":"additional","affiliation":[{"name":"European School of Medicine, International European University, 03187 Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrzej","family":"Raczynski","sequence":"additional","affiliation":[{"name":"Department of Emergency Medical Service, Wroclaw Medical University, 52-443 Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1427-4796","authenticated-orcid":false,"given":"Jacek","family":"Smereka","sequence":"additional","affiliation":[{"name":"Research Unit, Polish Society of Disaster Medicine, 05-806 Warsaw, Poland"},{"name":"Department of Emergency Medical Service, Wroclaw Medical University, 52-443 Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1177\/0194599820927335","article-title":"High-Risk Aerosol-Generating Procedures in COVID-19: Respiratory Protective Equipment Considerations","volume":"163","author":"Howard","year":"2020","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e000730","DOI":"10.1136\/bmjresp-2020-000730","article-title":"Classification of aerosol-generating procedures: A rapid systematic review","volume":"7","author":"Jackson","year":"2020","journal-title":"BMJ Open Respir. Res."},{"key":"ref_3","first-page":"127","article-title":"Comparison of different chest compression positions for use while wearing CBRN-PPE: A randomized crossover simulation trial","volume":"5","author":"Malysz","year":"2020","journal-title":"Disaster Emerg. Med. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1016\/j.ajem.2020.08.085","article-title":"Vie scope\u00ae laryngoscope versus Macintosh laryngoscope with personal protective equipment during intubation of COVID-19 resuscitation patient","volume":"46","author":"Maslanka","year":"2021","journal-title":"Am. J. Emerg. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/S0736-4679(01)00439-5","article-title":"Out-of-hospital pediatric intubation by paramedics: The San Diego experience","volume":"22","author":"Vilke","year":"2002","journal-title":"J. Emerg. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"75","DOI":"10.5603\/DEMJ.a2021.0012","article-title":"USB-endoscope laryngoscope is as effective as video laryngoscope in difficult intubation","volume":"6","author":"Dindik","year":"2021","journal-title":"Disaster Emerg. Med. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.emc.2019.03.006","article-title":"Advances in Emergent Airway Management in Pediatrics","volume":"37","author":"Miller","year":"2019","journal-title":"Emerg. Med. Clin. N. Am."},{"key":"ref_8","first-page":"CD011413","article-title":"Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in children (excluding neonates)","volume":"5","author":"Abdelgadir","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.annemergmed.2012.09.008","article-title":"Videolaryngoscopy versus direct laryngoscopy in simulated pediatric intubation","volume":"61","author":"Donoghue","year":"2013","journal-title":"Ann. Emerg. Med."},{"key":"ref_10","first-page":"421","article-title":"Comparison of the C-MAC D-Blade videolaryngoscope and direct laryngoscope in pediatric patients: Randomized controlled trial","volume":"27","author":"Hajiyeva","year":"2021","journal-title":"Turk. J. Trauma Emerg. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e21084","DOI":"10.1097\/MD.0000000000021084","article-title":"Novel airway device Vie Scope in several pediatric airway scenarios: A randomized simulation pilot trial","volume":"99","author":"Maslanka","year":"2020","journal-title":"Medicine"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.ajem.2021.12.069","article-title":"Comparison of Vie Scope\u00ae and 7","volume":"53","author":"Szarpak","year":"2022","journal-title":"Am. J. Emerg. Med."},{"key":"ref_13","unstructured":"Urbaniak, G.C., and Plous, S. (2022, July 14). Research Randomizer. Version 4.0. Computer Software. Available online: http:\/\/www.randomizer.org\/."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"91","DOI":"10.5603\/DEMJ.2017.0017","article-title":"Assessment of endotracheal tube intubation. Review of existing scales","volume":"2","author":"Glosser","year":"2017","journal-title":"Disaster Emerg. Med. J."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Ecker, H., Kolvenbach, S., Herff, H., and Wetsch, W.A. (2021). Intubation using VieScope vs. Video laryngoscopy in full personal protective equipment\u2014A randomized, controlled simulation trial. BMC Anesthesiol., 21.","DOI":"10.1186\/s12871-021-01502-7"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1007\/s00431-017-2909-9","article-title":"A comparison of McGrath MAC\u00ae and standard direct laryngoscopy in simulated immobilized cervical spine pediatric intubation: A manikin study","volume":"176","author":"Madziala","year":"2017","journal-title":"Eur. J. Pediatr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"820847","DOI":"10.3389\/fmed.2022.820847","article-title":"Elective Tracheal Intubation with the VieScope-A Prospective Randomized Non-inferiority Pilot Study (VieScOP-Trial)","volume":"9","author":"Petzoldt","year":"2022","journal-title":"Front. Med."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Ecker, H., Stranz, S., Kolvenbach, S., Herff, H., Hellmich, M., and Wetsch, W.A. (2022). Airway Management during Massive Gastric Regurgitation Using VieScope or Macintosh Laryngoscope-A Randomized, Controlled Simulation Trial. J. Clin. 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