Comparison of the Pentax, Truview, GlideScope, and the Miller laryngoscope for child intubation during resuscitation

Am J Emerg Med. 2015 Mar;33(3):391-5. doi: 10.1016/j.ajem.2014.12.020. Epub 2014 Dec 19.

Abstract

Background: The study was designed to compare the effectiveness of 3 video laryngoscopes with the Miller laryngoscope during pediatric resuscitation.

Material and methods: This was a randomized crossover study involving 87 paramedics and 54 nurses. The primary end point of the study was the success rate of blind tracheal intubation, whereas the secondary end point was defined as the time from insertion of a device to the first manual ventilation of the manikin's lungs.

Results: The median time to intubation using the Pentax, Truview, GlideScope, and Miller varied with the times being 20.6 (interquartile range [IQR], 18-27) vs 20.1 (IQR, 18-23.3) vs 30.2 (IQR, 29.6-35) vs 41.3 (IQR, 33-45.2) seconds, respectively. The overall success ratios of intubation for the devices were 100% vs 100% vs 100% vs 79.4%.

Conclusions: We concluded that, in a pediatric manikin scenario, the video laryngoscopes are safe devices and can be used for pediatric intubation during uninterrupted chest compressions. Further clinical studies are necessary to confirm these initial positive findings.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Allied Health Personnel / education
  • Cardiopulmonary Resuscitation / education
  • Cardiopulmonary Resuscitation / instrumentation*
  • Child
  • Cross-Over Studies
  • Emergency Nursing / education
  • Equipment Design
  • Female
  • Humans
  • Intubation, Intratracheal / instrumentation*
  • Laryngoscopes*
  • Male
  • Manikins*
  • Middle Aged
  • Nurses
  • Time Factors
  • Young Adult