Does VL improve first-pass success over DL in the operating room? In this well designed RCT, they found similar findings as our #DEVICE trial with superiority of VL. This trial also stopped early due to efficacy. In particular, they specified hyperangulated blades. FPS was 98.3% in the HAVL group versus 92.4% in the DL group. jamanetwork.com/journals/jama/… #emergency #emergencymedicine #foam #foamed #foamcc #army #armymedicine #armyemdoc #meded #icu #criticalcare #anesthesia #anesthesiologist #crna #airway #medairway #airwaytwitter #medx #medairwaytwitter
@armyemdoc But wait, my prehospital friends ask, DEVICE was in-hospital. What about prehospital VL vs DL? This SR/MA by Dr Pourmand and colleagues says yes. VL has higher FPS, overall success, and fewer total attempts. cambridge.org/core/product/i…
@armyemdoc It does feel like we keep repeating the same trial and proving VL is better Yet we continue to use DL
@armyemdoc VL should become a standard. I not a big fan of hyperangulated blades, but I do find them very useful with some patient.
@armyemdoc Of course, impossible not to have this outcome if one can not control for training and experience with both which is impossible at this point. The result was a given prior to the study even being done.
