Early experience in use of videolaryngoscopy by a neonatal pre-hospital and retrieval service

David Lacquiere; Jacob Smith; Neel Bhanderi; Francis Lockie; Jacintha Pickles; Mardi Steere; John Craven; Stefan Mazur

doi:10.1111/1742-6723.14374

Early experience in use of videolaryngoscopy by a neonatal pre-hospital and retrieval service

Emerg Med Australas. 2024 Jan 30. doi: 10.1111/1742-6723.14374. Online ahead of print.

Authors

David Lacquiere^{1

2}, Jacob Smith³, Neel Bhanderi^{1

4}, Francis Lockie^{1

5}, Jacintha Pickles¹, Mardi Steere^{5

6}, John Craven^{7

8}, Stefan Mazur^{1

4}

Affiliations

¹ South Australian Ambulance Service MedSTAR, Adelaide, South Australia, Australia.
² Pulse Anaesthetics, Adelaide, South Australia, Australia.
³ Emergency Department, Ninewells Hospital, Dundee, UK.
⁴ Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
⁵ Paediatric Emergency Department, Women and Children's Hospital, Adelaide, South Australia, Australia.
⁶ Royal Flying Doctor Service SA/NT, Adelaide, South Australia, Australia.
⁷ Emergency Department, Mount Barker District Soldiers Memorial Hospital, Mount Barker, South Australia, Australia.
⁸ College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.

PMID: 38290834
DOI: 10.1111/1742-6723.14374

Abstract

Objective: To describe initial experience with use of the Glidescope Go videolaryngoscope by an Australian neonatal pre-hospital and retrieval service.

Methods: We conducted a 31-month retrospective review of an airway registry for neonates intubated by MedSTAR Kids clinicians.

Results: Twenty-two patients were intubated using the Glidescope Go, compared with 50 using direct laryngoscopy. First-pass success was 17/22 (77.3%) with the Glidescope Go and 38/50 (76%) with direct laryngoscopy. Complications occurred in 7/22 (32%) and 8/50 (16%), respectively.

Conclusions: On initial review of this practice change, videolaryngoscopy allows neonatal tracheal intubation with a comparable success rate to direct laryngoscopy in a pre-hospital and retrieval setting.

Keywords: intubation; neonatal; retrieval; videolaryngoscopy.