Videolaryngoscopy versus direct laryngoscopy for paediatric tracheal intubation: a systematic review with meta-analysis and trial sequential analysis.

ABSTRACT:

Background

Paediatric tracheal intubation presents unique challenges owing to anatomical and physiological characteristics. Multiple intubation attempts increase the risk of severe complications; therefore, achieving high first-pass success is critical. Videolaryngoscopy (VL) represents an alternative to direct laryngoscopy (DL), but its comparative efficacy, safety, and clinical impact in paediatric practice remain under investigation.

Methods

This systematic review and meta-analysis evaluated VL vs DL for paediatric tracheal intubation, focusing on first-attempt success rate, glottic visualisation, intubation time, and critical events. Eight databases were searched. RCTs comparing VL and DL in paediatric patients (<16 yr) were included.

Results

Of 22 221 screened ar

SUBMITTER: Koepp-Medina G 

PROVIDER: S-EPMC12597347 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature