Authors' objectives:

This review aims to provide an evidence-based analysis on the effectiveness and cost-effectiveness of video laryngoscopy for tracheal intubation.

Authors' recommendations: Two video-assisted systems are available for use in Canada. The Bullard(R) video laryngscope has a large body of literature associated with it and has been used for the last 10 years, although most of the studies are small and not well conducted. The literature on the GlideScope(R) is limited. In general, these devices provide better views of the airway but are much more expensive than conventional direct laryngoscopes. As with most medical procedures, video-assisted laryngoscopy requires training and skill maintenance for successful use. There seems to be a discrepancy between the seeming advantages of these devices in the management of difficult airway and their availability and uptake. Their utility in Ontario at this time may be limited because difficult intubation is relatively infrequent outside the operating room, many cheap, alternative devices are available, and there are no professional supports in place for the training and maintenance of skills for the use of these devices outside anesthesia. Video laryngoscopy has no obvious utility in preventing airborne viral transmission from patient to provider but may be useful for teaching purposes.

Authors' methods: Systematic review

Project Status: Completed

Year Published: 2004

URL for published report: http://www.health.gov.on.ca/english/providers/program/mas/tech/reviews/pdf/rev_vidlaryng_050104.pdf

URL for additional information: http://www.hqontario.ca/evidence/publications-and-ohtac-recommendations/ohtas-reports-and-ohtac-recommendations/video-laryngoscopy-for-tracheal-intubation

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Canada

Organisation Name: Medical Advisory Secretariat

Contact Address: Medical Advisory Secretariat, 20 Dundas Street West, 10th Floor, Toronto, ON M5G 2N6 CANADA. Tel: 416-314-1092l; Fax: 416-325-2364;

Contact Name: MASinfo.moh@ontario.ca

Contact Email: MASinfo.moh@ontario.ca

Copyright: Medical Advisory Secretariat, Ontario Ministry of Health and Long-Term Care