{"id":11591,"date":"2020-06-06T04:02:19","date_gmt":"2020-06-06T02:02:19","guid":{"rendered":"http:\/\/news-papers.eu\/?p=11591"},"modified":"2020-05-26T23:30:07","modified_gmt":"2020-05-26T21:30:07","slug":"videolaryngoskopie-vs-direkte-laryngoskopie-neue-daten","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=11591","title":{"rendered":"Videolaryngoskopie vs. direkte Laryngoskopie: Neue Daten"},"content":{"rendered":"<p style=\"text-align: justify;\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1380\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=1380\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Videolaryngoskopie-e1461334769249.png?fit=500%2C373&amp;ssl=1\" data-orig-size=\"500,373\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Videolaryngoskopie\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Videolaryngoskopie-e1461334769249.png?fit=300%2C224&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Videolaryngoskopie-e1461334769249.png?fit=500%2C373&amp;ssl=1\" class=\"size-medium wp-image-1380 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Videolaryngoskopie.png?resize=300%2C224\" alt=\"\" width=\"300\" height=\"224\" \/>In einer spannenden Studie untersuchten Calvin Brown und Kollegen den First-Pass Success einer Videolaryngoskopie versus eine mittels Larynxmanipulation, Oberk\u00f6rperhochlagerung und Bougie-Nutzung unterst\u00fctzte direkte Laryngoskopie anhand der Daten des NEAR Registers.<\/p>\n<blockquote>\n<p style=\"text-align: justify;\"><strong>Brown CA et al. Video Laryngoscopy Compared to\u00a0Augmented Direct Laryngoscopy in\u00a0Adult Emergency Department Tracheal\u00a0Intubations: A National Emergency\u00a0Airway Registry (NEAR) Study.\u00a0ACADEMIC EMERGENCY MEDICINE 2020;27:100\u2013108.<\/strong><\/p>\n<\/blockquote>\n<p><strong>Studie:<\/strong><\/p>\n<ul>\n<li>Sekund\u00e4ranalyse der National Emergency Airway Registry (NEAR)<\/li>\n<\/ul>\n<p><strong>Ergebnisse:\u00a0<\/strong><\/p>\n<ul>\n<li>insgesamt n=11.714 Intubationen wurden in den Jahren 2016 und 2017 im NEAR Register erfasst<\/li>\n<li>n=3.936 waren unterst\u00fctzte direkte Intubation (A-DL) und n=3.002 nicht-unterst\u00fctzte videolaryngoskopische Laryngoskopie (VL)<\/li>\n<li>A-DL wurde in n=3.936 (56,7%) versus in n=3,002 (43,3%) mit VL als erstes Device genutzt<\/li>\n<li>in der A-DL Gruppe n=1.787 (45,4%) wurde mit alleinige Oberk\u00f6rperhochlagerung, n=1.472 (37,4%) mit externer Larynxmanipulation und n=365 (9,3%) mit einem Bougie unterst\u00fctzt<\/li>\n<li>First-Pass success in der VL Gruppe vs.\u00a0A-DL Gruppe:\u00a090,9% vs.\u00a081,1%<\/li>\n<li>in der VL Gruppe fanden sich h\u00e4ufiger eine reduzierte Mund\u00f6ffnung, Nackenimmobilisation und der Hinweis auf einen schwierigen Atemweg<\/li>\n<li>First-Pass success in der VL Gruppe h\u00f6her als in der A-DL Gruppe: aOR: 2,8, 95%CI: 2,4-3,3<\/li>\n<li>First-Pass success in der VL Gruppe h\u00f6her als in der A-DL Gruppe mit Bougie: aOR: 2,7, 95%CI: 2,1-3,5<\/li>\n<li>First-Pass success in der VL Gruppe h\u00f6her als in der A-DL Gruppe mit Larynxmanipulation aOR: 1,8, 95%CI: 1,5-2,2<\/li>\n<li>First-Pass success in der VL Gruppe h\u00f6her als in der A-DL Gruppe mit Oberk\u00f6rperhoclagerung aOR: 2,8, 95%CI: 2,3-3,3<\/li>\n<li>First-Pass success in der VL Gruppe h\u00f6her als in der A-DL Gruppe mit Oberk\u00f6rperhochlagerung und Bougie: aOR: 2,8, 95% CI: 2,3-3,3<\/li>\n<li>\u00d6sopgeale Fehlintubationen wurden in der VL-Gruppe gefunden: 0,4% vs. 1,3%, aOR: 0,2, 95%CI: 0,1-0,5<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>In einer spannenden Studie untersuchten Calvin Brown und Kollegen den First-Pass Success einer Videolaryngoskopie versus eine mittels Larynxmanipulation, Oberk\u00f6rperhochlagerung und Bougie-Nutzung unterst\u00fctzte direkte Laryngoskopie anhand der Daten des NEAR Registers. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1380,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[3],"tags":[151],"class_list":["post-11591","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-atemwegsmanagement","tag-videolaryngoskopie"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Videolaryngoskopie-e1461334769249.png?fit=500%2C373&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-30X","jetpack-related-posts":[{"id":15385,"url":"https:\/\/news-papers.eu\/?p=15385","url_meta":{"origin":11591,"position":0},"title":"Videolaryngoskopie in der pr\u00e4hospitalen Notfallmedizin","author":"Michael Bernhard","date":"April 21, 2022","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Schweiz: Erneut ist eine Arbeit zum Nutzen der Videolaryngoskopie in der pr\u00e4hospitalen Notfallmedizin erschienen: Maissan I et al. The impact of\u00a0video laryngoscopy on\u00a0the\u00a0frst\u2011pass success rate of\u00a0prehospital endotracheal intubation in\u00a0The Netherlands: a\u00a0retrospective observational study. Eur J Trauma Emerg Surg 2022. Sie kann als \u201copen\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"https:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/09\/ANNA-C-MAC-PM-scaled.jpg?fit=1200%2C798&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/09\/ANNA-C-MAC-PM-scaled.jpg?fit=1200%2C798&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/09\/ANNA-C-MAC-PM-scaled.jpg?fit=1200%2C798&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/09\/ANNA-C-MAC-PM-scaled.jpg?fit=1200%2C798&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/09\/ANNA-C-MAC-PM-scaled.jpg?fit=1200%2C798&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":3578,"url":"https:\/\/news-papers.eu\/?p=3578","url_meta":{"origin":11591,"position":1},"title":"Videolaryngoskopie vs. direkte Laryngoskopie &#8211; Eine Cochrane Analyse","author":"Michael Bernhard","date":"Mai 17, 2017","format":false,"excerpt":"Die Cochrane Database of Systematic Review ist ein Quell interessanter Literatur. Ende 2016 wurde hier eine Metaanalyse zum Intubationerfolg der Videolaryngoskopie vs. direkte Laryngoksopie publiziert: Lewis S et al. Videolarymgoscopy versus direct laryngoscopy for adult patients requiering tracheal intubation.\u00a0Cochrane Database of Systematic Reviews 2016, Issue 11. Art. No.: CD011136.\u00a0DOI: 10.1002\/14651858.CD011136.pub2.\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"https:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/VL-icon.png?fit=547%2C547&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/VL-icon.png?fit=547%2C547&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/VL-icon.png?fit=547%2C547&ssl=1&resize=525%2C300 1.5x"},"classes":[]},{"id":3261,"url":"https:\/\/news-papers.eu\/?p=3261","url_meta":{"origin":11591,"position":2},"title":"Videolaryngoscopy News&#8230;","author":"Michael Bernhard","date":"Februar 28, 2017","format":false,"excerpt":"Und weiter geht der Battle um Videolaryngoskopie und konventionelle Laryngoskopie. Erst neulich wurde plakativ von Dr. Minh Le Cong konstatiert: \"Die Videolaryngoskopie ist nur eine teurere direkte Laryngoskopie\". Auch wenn wir nicht dieser Meinung sind, muss man sich dennoch mit diesen Stimmen und der daniederliegenden Literatur besch\u00e4ftigen: http:\/\/www.anesthesiologynews.com\/Multimedia\/Article\/12-16\/Rapid-Sequence-Intubation-Success-C-MAC-Versus-Direct-Laryngoscopy-\/38837 Nach und\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"https:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"bildschirmfoto-2016-12-10-um-08-37-12","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-10-um-08.37.12-300x236.png?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":6873,"url":"https:\/\/news-papers.eu\/?p=6873","url_meta":{"origin":11591,"position":3},"title":"Atemwegsregister in der Notfallmedizin","author":"Michael Bernhard","date":"M\u00e4rz 20, 2018","format":false,"excerpt":"Ein besonderer Fokus liegt bei news-paper.eu auf dem Atemwegsmanagement in Notfallsituationen, dies liegt nat\u00fcrlich auch an dem Interesse der Autoren dieses Blogs.\u00a0Mit gro\u00dfem Interesse haben wir daher den Artikel von Tim Cook in ANAESTHESIA studiert: Cook TM. Strategies for the prevention of airway complications \u2013 a narrative review. Anaesthesia 2018;\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"https:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/03\/Ikone_Atemwegsregister.jpg?fit=480%2C479&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":8972,"url":"https:\/\/news-papers.eu\/?p=8972","url_meta":{"origin":11591,"position":4},"title":"OcEAN: Erstmalig Daten zum Atemwegsmanagement in der Notaufnahme","author":"Michael Bernhard","date":"Februar 16, 2019","format":false,"excerpt":"Erstmalig Daten zum Atemwegsmanagement aus einer deutschen Zentralen Notaufnahme: Die OcEAN-Studie: Bernhard M, Bax SN, et al. Airway Management in the Emergency Department (The OcEAN-Study) \u2013 a prospective single centre observational cohort study. Scand J Trauma Resusc Emerg Med 2019; 27:20 (PDF) Link Bisher bestehen kaum Daten zum fr\u00fchen innenklinischen\u2026","rel":"","context":"In &quot;allgemein&quot;","block_context":{"text":"allgemein","link":"https:\/\/news-papers.eu\/?cat=2"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/03\/Bildschirmfoto-2017-03-28-um-08.06.50.png?fit=477%2C278&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":5540,"url":"https:\/\/news-papers.eu\/?p=5540","url_meta":{"origin":11591,"position":5},"title":"The next goal goes to: &#8230; Videolaryngoskopie","author":"Michael Bernhard","date":"Oktober 19, 2017","format":false,"excerpt":"In einem systematischen Review und Metaanalyse griffen Lewis et al. das Thema Vieolaryngoksopie erneut auf: Lewis SR et al. \u00a0Videolaryngoscopy versus direct laryngoscopy for adult\u00a0patients requiring tracheal intubation: a Cochrane\u00a0Systematic Review. British Journal of Anaesthesia, 2017 (x): 1\u201315 (Link) In dieser systematischen \u00dcbersichtsarbeit und Metaanalyse wurde die Versagensrate und die\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"https:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/Videolaryngoskopie-e1461334769249.png?fit=500%2C373&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/11591","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11591"}],"version-history":[{"count":1,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/11591\/revisions"}],"predecessor-version":[{"id":11592,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/11591\/revisions\/11592"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/1380"}],"wp:attachment":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11591"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11591"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11591"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}