Journal of perinatology : official journal of the California Perinatal Association · 2026
Measuring the impact of introducing a new video laryngoscope on intubation success and safety among extremely low birthweight infants.
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Miller Kathleen E, Parsons Nicole, Huber Matthew, Napolitano Natalie, Felix Matthew, Christ Lori, Herrick Heidi, Foglia Elizabeth E, French Heather
Аннотация
OBJECTIVE: To evaluate intubation success and safety among extremely low birthweight (ELBW) infants before, during, and after the introduction of a new video laryngoscope (VL) in a Level 3 neonatal intensive care unit.
STUDY DESIGN: Single-center retrospective cohort study. Three phases (pre-introduction, introduction, and post-introduction), each with 40 intubations, were analyzed. Primary success and safety outcomes included first-attempt success and any tracheal intubation-associated events (TIAEs), respectively. Univariable analyses were used to compare patient, provider, and practice characteristics and outcomes by phase.
RESULTS: No significant differences were observed between the pre-introduction and introduction phases. The post-introduction phase had significantly fewer TIAEs compared to both the pre-introduction (2 [5%] vs 8 [20%]; p = 0.04) and introduction phases (2 [5%] vs 8 [20%]; p = 0.04).
CONCLUSION: Safety outcomes improved with continued use of the new VL among ELBW intubations. Further research is needed to explore the role of training and experience with new airway technologies.
STUDY DESIGN: Single-center retrospective cohort study. Three phases (pre-introduction, introduction, and post-introduction), each with 40 intubations, were analyzed. Primary success and safety outcomes included first-attempt success and any tracheal intubation-associated events (TIAEs), respectively. Univariable analyses were used to compare patient, provider, and practice characteristics and outcomes by phase.
RESULTS: No significant differences were observed between the pre-introduction and introduction phases. The post-introduction phase had significantly fewer TIAEs compared to both the pre-introduction (2 [5%] vs 8 [20%]; p = 0.04) and introduction phases (2 [5%] vs 8 [20%]; p = 0.04).
CONCLUSION: Safety outcomes improved with continued use of the new VL among ELBW intubations. Further research is needed to explore the role of training and experience with new airway technologies.