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Cited by 346

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults

Open access
Prekker, Matthew E., Driver, Brian E., Trent, Stacy A., Resnick-Ault, Daniel, Seitz, Kevin P., Russell, Derek W., Gaillard, John P., Latimer, Andrew J., Ghamande, Shekhar A., Gibbs, Kevin W., Vonderhaar, Derek J., Whitson, Micah R., Barnes, Christopher R., Walco, Jeremy P., Douglas, Ivor S., Krishnamoorthy, Vijay, Dagan, Alon, Bastman, Jill J., Lloyd, Bradley D., Gandotra, Sheetal, Goranson, Jordan K., Mitchell, Steven H., White, Heath D., Palakshappa, Jessica A., Espinera, Alyssa, Page, David B., Joffe, Aaron, Hansen, Sydney J., Hughes, Christopher G., George, Tobias, Herbert, J. Taylor, Shapiro, Nathan I., Schauer, Steven G., Long, Brit J., Imhoff, Brant, Wang, Li, Rhoads, Jillian P., Womack, Kelsey N., Janz, David R., Self, Wesley H., Rice, Todd W., Ginde, Adit A., Casey, Jonathan D., Semler, Matthew W.·2023·New England Journal of Medicine

Abstract

BACKGROUND: Whether video laryngoscopy as compared with direct laryngoscopy increases the likelihood of successful tracheal intubation on the first attempt among critically ill adults is uncertain. METHODS: In a multicenter, randomized trial conducted at 17 emergency departments and intensive care units (ICUs), we randomly assigned critically ill adults undergoing tracheal intubation to the video-laryngoscope group or the direct-laryngoscope group. The primary outcome was successful intubation on the first attempt. The secondary outcome was the occurrence of severe complications during intubation; severe complications were defined as severe hypoxemia, severe hypotension, new or increased vasopressor use, cardiac arrest, or death. RESULTS: The trial was stopped for efficacy at the time of the single preplanned interim analysis. Among 1417 patients who were included in the final analysis (91.5% of whom underwent intubation that was performed by an emergency medicine resident or a critical care fellow), successful intubation on the first attempt occurred in 600 of the 705 patients (85.1%) in the video-laryngoscope group and in 504 of the 712 patients (70.8%) in the direct-laryngoscope group (absolute risk difference, 14.3 percentage points; 95% confidence interval [CI], 9.9 to 18.7; P<0.001). A total of 151 patients (21.4%) in the video-laryngoscope group and 149 patients (20.9%) in the direct-laryngoscope group had a severe complication during intubation (absolute risk difference, 0.5 percentage points; 95% CI, -3.9 to 4.9). Safety outcomes, including esophageal intubation, injury to the teeth, and aspiration, were similar in the two groups. CONCLUSIONS: Among critically ill adults undergoing tracheal intubation in an emergency department or ICU, the use of a video laryngoscope resulted in a higher incidence of successful intubation on the first attempt than the use of a direct laryngoscope. (Funded by the U.S. Department of Defense; DEVICE ClinicalTrials.gov number, NCT05239195.).

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Metadata

Authors
Prekker, M. E., Driver, B. E., Trent, S. A., Resnick-Ault, D., Seitz, K. P., Russell, D. W., Gaillard, J. P., Latimer, A. J., Ghamande, S. A., Gibbs, K. W., Vonderhaar, D. J., Whitson, M. R., Barnes, C. R., Walco, J. P., Douglas, I. S., Krishnamoorthy, V., Dagan, A., Bastman, J. J., Lloyd, B. D., Gandotra, S., Goranson, J. K., Mitchell, S. H., White, H. D., Palakshappa, J. A., Espinera, A., Page, D. B., Joffe, A., Hansen, S. J., Hughes, C. G., George, T., Herbert, J. T., Shapiro, N. I., Schauer, S. G., Long, B. J., Imhoff, B., Wang, L., Rhoads, J. P., Womack, K. N., Janz, D. R., Self, W. H., Rice, T. W., Ginde, A. A., Casey, J. D., & Semler, M. W.
Venue
New England Journal of Medicine
Published
2023-08-03
Volume
389
Issue
5
Pages
418-429
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W4380869863
Cited by
346
References
26
FWCI
105.74
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults. https://app.cochat.ai/papers/10.1056/nejmoa2301601
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Prekker, M. E., Driver, B. E., Trent, S. A., Resnick-Ault, D., Seitz, K. P., Russell, D. W., Gaillard, J. P., Latimer, A. J., Ghamande, S. A., Gibbs, K. W., Vonderhaar, D. J., Whitson, M. R., Barnes, C. R., Walco, J. P., Douglas, I. S., Krishnamoorthy, V., Dagan, A., Bastman, J. J., Lloyd, B. D., . . . Semler, M. W. (2023). Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults. New England Journal of Medicine. https://doi.org/10.1056/nejmoa2301601

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.