Videolaryngoscopy versus direct laryngoscopy for nasotracheal intubation: A systematic review and meta-analysis of randomised controlled trials

Journal of Clinical Anesthesia
Jia JiangFu-Shan Xue

Abstract

Nasotracheal intubation (NTI) is a common practice in the oral and maxillofacial surgeries. A systematic review and meta-analysis was performed to determine whether videolaryngoscopy (VL) compared with direct laryngoscopy (DL) can lead to better outcomes for NTI in adult surgical patients. Only randomised controlled trials comparing VL and DL for NTI were included. The primary outcome was overall success rate and the second outcomes were first-attempt success rate, intubation time, rate of Cormack and Lehane classification 1, rate of Magill Forceps used, rate of postoperative sore throat, and ease of intubation. Fourteen studies with 20 comparisons (n = 1052) were included in quantitative synthesis. The overall success rate was similar between two groups (RR, 1.03; p = 0.14; moderate-quality evidence). VL was associated with a higher first-attempt success rate (RR 1.09; p = 0.04; low-quality evidence), a shorten intubation time (MD-6.72 s; p = 0.0001; low-quality evidence), a higher rate of Cormack and Lehane classification 1 (RR, 2.11; p < 0.01; high-quality evidence), a less use of the Magill forceps (RR, 0.11; p < 0.01; high-quality evidence) and a lower incidence of postoperative sore throat (RR, 0.50; p = 0.03; high-qualit...Continue Reading

References

Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
Jan 7, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M Angeles AyusoJoan M Carbó
Feb 27, 2003·Anaesthesia·C E J Hall, L E Shutt
Jun 5, 2004·The Journal of Trauma·Nathaen WeitzelPeter Pons
Feb 3, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Richard M CooperStuart A McCluskey
May 6, 2008·BMJ : British Medical Journal·Gordon H GuyattUNKNOWN GRADE Working Group
Jul 19, 2008·Anesthesia and Analgesia·Philip M JonesTimothy P Turkstra
Dec 4, 2008·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Patrick SchoettkerMartin Broome
Jun 9, 2009·Journal of Clinical Anesthesia·Yoshihiro Hirabayashi, Norimasa Seo
Jul 28, 2009·Journal of Clinical Epidemiology·David MoherUNKNOWN PRISMA Group
Jan 5, 2011·Journal of Clinical Epidemiology·Gordon GuyattHolger J Schünemann
Jun 15, 2011·Journal of Clinical Anesthesia·Wolfgang PuchnerHans Gombotz
Jul 7, 2011·European Journal of Anaesthesiology·Olumuyiwa A BamgbadePreye A Zuokumor
Nov 2, 2011·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Donald E G GriesdalePeter T Choi
Dec 18, 2012·BMC Anesthesiology·David W HealySachin Kheterpal
Feb 2, 2013·Korean journal of anesthesiology·Eun-Jin MoonKeon-Sik Kim
Jan 18, 2014·Journal of Anesthesia·Koyu OnoTomomi Moriya
Apr 18, 2014·International Journal of Critical Illness and Injury Science·Rv ChemsianR Ramaiah
Jan 4, 2015·BMJ : British Medical Journal·Larissa ShamseerUNKNOWN PRISMA-P Group
Jul 6, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Shubhakalyan ShresthaRakesh Kumar Sharma
Aug 19, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Hyun-Jeong KwakJong-Yeop Kim
Aug 29, 2017·Asian Journal of Anesthesiology·Kuang-Yi TsengKuang-I Cheng
May 11, 2018·Journal of Dental Anesthesia and Pain Medicine·Hye Joo YunKwang-Suk Seo

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Citations

Jul 4, 2020·Anesthesia and Analgesia·Thomas M Hemmerling, Cedrick Zaouter
Sep 15, 2020·Anesthesia and Analgesia·Thomas M Hemmerling, Cedrick Zaouter
Jan 30, 2021·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Andrew W DowneyJ Adam Law

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