Study Shows Video Laryngoscopes Improve Intubation Success Rates

This study represents an EMS system’s intubation experience before and after implementing a video laryngoscope. Prior to the implementation, while using only direct laryngoscopy (DL), their first pass success (FPS) rate was 44% and their overall intubation success rate was 64%. The service recognized their performance was below their goal, and with close medical director oversight, attempted to improve by switching from DL to video laryngoscopy (VL). They chose King Vision because of the quality of view it provided of the cords and usability as measured by paramedic preference during a cadaver lab. VL proficiency was accomplished with mandatory training that included hands-on practice, lecture and online videos. Medics were required to show competency in VL monthly. After a phase-in of several months, direct laryngoscopes were removed from the ambulances and all intubations were required to be performed using a video laryngoscope. Over the course of the study, 514 patients were intubated. There was no difference between the general patient population before and after implementation of VL. Results included the following: Increase in FPS rate from 43.8% to 74.2%; Increase in success per attempt (successful attempts/total number of attempts) from 44.4% to 71.2%; and Increase in overall success rate (successful intubations/number of patient for whom intubation was attempted) from 64.9% to 91.5%. DOC WESLEY COMMENTS
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Airway & Respiratory Columns Patient Care Source Type: news