Meta-analysis between videolaringoscopy and direct laryngoscopy in difficult airway management by skilled anesthesiologists

Abstract

This article presents a systematic review and meta-analysis to ascertain if the literature indicated if videolaryngoscopy conferred an advantage when used by experienced anaesthetists managing patients with a known difficult airway.
First-attempt success of tracheal intubation was higher in the videolaryngoscopy group.
Use of videolaryngoscopy was also associated with a significantly better view of the glottis and with a less rate of airway mucosal trauma.
Videolaryngoscopy has added value for the experienced anaesthetist, improving first-time success, the view of the glottis and reducing mucosal trauma. It could become a standard of care in the initial management of the known difficult airway.