Hinkelbein, Jochen ORCID: 0000-0003-3585-9459, Iovino, Ivan, De Robertis, Edoardo ORCID: 0000-0001-9182-6964 and Kranke, Peter (2019). Outcomes in video laryngoscopy studies from 2007 to 2017: systematic review and analysis of primary and secondary endpoints for a core set of outcomes in video laryngoscopy research. BMC Anesthesiol., 19. LONDON: BMC. ISSN 1471-2253

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Abstract

Background: Airway management is crucial and, probably, even the most important key competence in anaesthesiology, which directly influences patient safety and outcome. However, high-quality research is rarely published and studies usually have different primary or secondary endpoints which impedes clear unbiased comparisons between studies. The aim of the present study was to gather and analyse primary and secondary endpoints in video laryngoscopy studies being published over the last ten years and to create a core set of uniform or homogeneous outcomes (COS). Methods: Retrospective analysis. Data were identified by using MEDLINE (R) database and the terms video laryngoscopy and video laryngoscope limited to the years 2007 to 2017. A total of 3351 studies were identified by the applied search strategy in PubMed. Papers were screened by two anaesthesiologists independently to identify study endpoints. The DELPHI method was used for consensus finding. Results: In the 372 studies analysed and included, 49 different outcome categories/columns were reported. The items time to intubation (65.86%), laryngeal view grade (44.89%), successful intubation rate (36.56%), number of intubation attempts (23.39%), complications (21.24%), and successful first-pass intubation rate (19.09%) were reported most frequently. A total of 19 specific parameters is recommended. Conclusions: In recent video laryngoscopy studies, many different and inhomogeneous parameters were used as outcome descriptors/endpoints. Based on these findings, we recommend that 19 specific parameters (e.g., time to intubation (inserting the laryngoscope to first ventilation), laryngeal view grade (C&L and POGO), successful intubation rate, etc.) should be used in coming research to facilitate future comparisons of video laryngoscopy studies.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hinkelbein, JochenUNSPECIFIEDorcid.org/0000-0003-3585-9459UNSPECIFIED
Iovino, IvanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
De Robertis, EdoardoUNSPECIFIEDorcid.org/0000-0001-9182-6964UNSPECIFIED
Kranke, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-151012
DOI: 10.1186/s12871-019-0716-8
Journal or Publication Title: BMC Anesthesiol.
Volume: 19
Date: 2019
Publisher: BMC
Place of Publication: LONDON
ISSN: 1471-2253
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TRACHEAL INTUBATION; AIRWAY MANAGEMENT; COMPLICATIONSMultiple languages
AnesthesiologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/15101

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