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August - 2023

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Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults

M.E.Prekker, B.E.Driver, S.A.Trent, et al for the DEVICE Investigators and the Pragmatic Critical Care Research Group New Eng J Med, 2023, 389:418-429

Comment

The history so far; 

  • 2016: Pragmatic Trial CCM: VL vs DL in 150 ICU pts, 1st pass 69 vs 66%, no difference in time, better views with VL. However if operator <50 intubations, there was significant improvement, 
  • 2018 BEAM Driver, Prekker JAMA:  Bougie...

August



Previous Comments

Hi. Thanks for your journal review. The last statement in your comment section - "Overall the DEVICE trial reports use of direct laryngoscopy compared to video laryngoscopy was associated with an increase in first pass intubation (86% vs 72%) in critically ill adults (mainly in ED). " That statement is contradictory to the results of the study. Is it a typo?
RCX-29 Jul, 2023 09:26:34 PM

Yes! Thank you for picking it up!!
orfords@me.com-16 Aug, 2023 11:22:38 AM