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Endotracheal intubation using a GlideScope video laryngoscope by emergency physicians: a multicentre analysis of 345 attempts in adult patients
  1. Hyuk Joong Choi1,
  2. Hyung-Goo Kang1,
  3. Tae Ho Lim1,
  4. Hyun Soo Chung2,
  5. Junho Cho2,
  6. Young-Min Oh3,
  7. Young-Min Kim3 on behalf of the Korean Emergency Airway Management Registry (KEAMR) Investigators
  1. 1Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, Republic of Korea
  2. 2Department of Emergency Medicine, College of Medicine, Yonsei University, Seoul, Republic of Korea
  3. 3Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
  1. Correspondence to Young-Min Kim, Assistant Professor, Department of Emergency Medicine, Seoul St Mary's Hospital, #505 Banpo-dong, Seocho-gu, Seoul 137-701, Republic of Korea; emart{at}catholic.ac.kr

Abstract

Objective To investigate the use and success rates of the GlideScope (GVL) by emergency physicians (EPs) during the initial two years after its introduction.

Methods We performed an observational study using registry data of five emergency departments. The success rates in adult patients were evaluated and compared with those of conventional laryngoscope (CL).

Results The GVL was used in 345 (10.7%) of 3233 intubation attempts by EPs. The overall success rate of the GVL was not higher than a CL (79.1% vs 77.6%, p=0.538). The success rate for the patients with difficult airway was higher in the GVL than a CL (80.0% vs 50.4%, p<0.001).

Conclusion The GVL was not used frequently by EPs during the initial two years after its introduction. Although the GVL provides a better glottic view, the overall success rates were similar to a CL. The GVL may be useful in patients with difficult airway.

  • Airway
  • emergency care systems, emergency departments
  • equipment evaluation
  • GlideScope video laryngoscope
  • laryngoscopic intubation
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Footnotes

  • Competing interests None.

  • Ethics approval This study was conducted with the approval of the Catholic University of Korea Seoul St Mary's Hospital, the Catholic University of Korea Uijeongbu St Mary's Hospital, Yonsei University Severance Hospital, Yonsei University Kangnam Severance Hospital, Hanyang University Guri Hospital.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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