Methodology: 4/5
Usefulness: 4/5
Geraghty LE, et al. N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785.
Question and Methods: Study aimed to determine if video laryngoscopy improves first-attempt intubation success in neonates compared to direct laryngoscopy through a randomized controlled trial.
Findings: 74% first pass success with video laryngoscopy and 45% with direct laryngoscopy (ARR 29%, NNT 4). No differences in adverse events.
Limitations: Limitations of this study include the single-center design, lack of blinding, and limited generalizability to other settings and devices.
Interpretation: Video laryngoscopy should be used as the preferred method for intubating neonates, given a significantly higher first-attempt intubation success rate, which may potentially reduce prolonged intubation-associated complications.
By: Dr. Min Joon Lee
JC supervisor: Dr. Jeff Perry
