PMID- 28168228 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2383-4625 (Print) IS - 2383-4625 (Electronic) IS - 2383-4625 (Linking) VI - 3 IP - 4 DP - 2016 Dec TI - Changes in the first-pass success rate with the GlideScope video laryngoscope and direct laryngoscope: a ten-year observational study in two academic emergency departments. PG - 213-218 LID - 10.15441/ceem.16.148 [doi] AB - OBJECTIVE: The aim of this study was to assess the success rate of the GlideScope video laryngoscope (GVL) and direct laryngoscope (DL) over ten years in two academic emergency departments. METHODS: We used adult intubation data using DL and GVL collected from airway management registries at two academic emergency departments. We analyzed changes in first-pass success (FPS) rate by device and operator training level. We conducted a multivariate logistic regression analysis to predict the FPS according to time period. RESULTS: Over the study period (2006 to 2010, season I; 2013-2015, season II) the DL usage rate dropped from 91.6% to 45.0% while the GVL usage rate increased from 8.4% to 55.4%. The FPS rate using DL also declined from 90.8% in 2007 to 75.5% in 2015. On the other hand, the FPS rate using GVL increased from 87.8% to 95.2%. With DL, all operators' FPS rate declined by approximately 10% in season II compared to season I. The FPS rate with GVL was significantly higher in the providers of postgraduate year over 3 years (P=0.043). Multivariate logistic regression analysis revealed an adjusted odds ratio for GVL FPS of 0.799 during season I (P=0.274). However, the adjusted odds ratio for GVL FPS was 3.744 during season II (P<0.001). CONCLUSION: We found that the FPS rates of GVL have slightly increased but DL's FPS rate has significantly decreased during the last ten years. FAU - Lee, Joon Ki AU - Lee JK AD - Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea. FAU - Kang, Hyunggu AU - Kang H AD - Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea. FAU - Choi, Hyuk Joong AU - Choi HJ AD - Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea. LA - eng PT - Journal Article DEP - 20161230 PL - Korea (South) TA - Clin Exp Emerg Med JT - Clinical and experimental emergency medicine JID - 101657493 PMC - PMC5292303 OTO - NOTNLM OT - Intubation, intratracheal OT - Laryngoscopes OT - Laryngoscopy COIS- No potential conflict of interest relevant to this article was reported. EDAT- 2017/02/09 06:00 MHDA- 2017/02/09 06:01 PMCR- 2016/12/30 CRDT- 2017/02/08 06:00 PHST- 2016/06/10 00:00 [received] PHST- 2016/08/05 00:00 [revised] PHST- 2016/08/10 00:00 [accepted] PHST- 2017/02/08 06:00 [entrez] PHST- 2017/02/09 06:00 [pubmed] PHST- 2017/02/09 06:01 [medline] PHST- 2016/12/30 00:00 [pmc-release] AID - ceem-16-148 [pii] AID - 10.15441/ceem.16.148 [doi] PST - epublish SO - Clin Exp Emerg Med. 2016 Dec 30;3(4):213-218. doi: 10.15441/ceem.16.148. eCollection 2016 Dec.