{
  "abstract": "Aim\n\nTo compare video laryngoscopy with direct laryngoscopy for pediatric intubation during cardiac arrest and peri-arrest scenarios.Methods\n\nThis systematic review (PROSPERO CRD420251081694) searched MEDLINE, Embase, and Cochrane from inception to May 1, 2026. Two authors independently screened studies; data were extracted by one and independently verified by a second reviewer. Eligible studies compared video versus direct laryngoscopy in pediatric acute care; emergency department, intensive care, and prehospital settings. Risk of bias was assessed using ROBINS-I and RoB2. Critical outcomes were survival to hospital discharge, first-pass intubation success, overall intubation success, and severe tracheal intubation-associated events. Additional data included study design, setting, age, operator type, and device. Meta-analyses used random-effects Mantel-Haenszel models reporting risk ratios (RR) with 95% confidence intervals. Certainty of evidence was assessed using GRADE.Results\n\nEighteen studies (17 observational, 1 RCT). First-pass success was higher with video laryngoscopy (72.2% vs 69.0%; RR 1.11, 95% CI 1.06-1.16; very low certainty). Severe adverse events were less frequent with video laryngoscopy (7.7% vs 11.8%; RR 0.76, 95% CI 0.62-0.93; very low certainty). Overall success (RR 1.00, 95% CI 0.99-1.01) and desaturation (RR 0.88, 95% CI 0.77-1.01) were similar. No studies reported survival outcomes or data specific to cardiac arrest.Conclusion\n\nAmong children undergoing emergency tracheal intubation, video laryngoscopy may be associated with improved first-pass success and fewer adverse events, although the certainty of evidence is very low and causal inferences are limited. No data were available for survival outcomes and cardiac arrest.",
  "abstract_shown": true,
  "affiliations": [
    "Emergency Department, Instituto da Criança e do Adolescente do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil",
    "Emergency Department, Queensland Children’s Hospital, Australia",
    "Hospital de Clínicas de Porto Alegre, Unidade de Terapia Intensiva Pediátrica, Brazil",
    "Heidelberg University, Medical Faculty Heidelberg, Department of Anaesthesiology, Heidelberg, Germany",
    "University of the Free State, Bloemfontein, South Africa",
    "Department of Paediatrics, Western University, Canada Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada",
    "Division of Pediatric Critical Care Medicine, Stollery Children’s Hospital/University of Alberta, Edmonton, Canada"
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Thomaz Bittencourt Couto"
    },
    {
      "affs": [
        1
      ],
      "name": "Jason Acworth"
    },
    {
      "affs": [
        2
      ],
      "name": "Leandra Rech"
    },
    {
      "affs": [
        3
      ],
      "name": "Stephan Katzenschlager"
    },
    {
      "affs": [
        4
      ],
      "name": "Michelle Myburgh"
    },
    {
      "affs": [
        5
      ],
      "name": "Barnaby R. Scholefield"
    },
    {
      "affs": [
        6
      ],
      "name": "Allan de Caen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dvgydmbmnt4hc.bib",
  "cited_by": 0,
  "doi": "10.1016/j.resplu.2026.101524",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13717893/?tool=EBI",
  "id": "dvgydmbmnt4hc",
  "issns": [
    "2666-5204"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13717893",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Review"
    ],
    [
      "openalex",
      "2703|Airway Management and Intubation Techniques"
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  "openalex": "W7220845054",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13717893/pdf/?tool=EBI",
  "pmcid": "PMC13717893",
  "pmid": "42960018",
  "published": "2026-10-07",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/dvgydmbmnt4hc.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:38Z",
      "native_id": "PMC:PMC13717893",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13717893"
    },
    {
      "first_seen": "2026-11-01T00:20:52Z",
      "native_id": "MED:42960018",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42960018"
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    {
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2703|Airway Management and Intubation Techniques",
      "subfield": "surgery"
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  ],
  "title": "Video laryngoscopy versus direct laryngoscopy for pediatric emergency tracheal intubation: a systematic review and meta-analysis",
  "title_text": "Video laryngoscopy versus direct laryngoscopy for pediatric emergency tracheal intubation: a systematic review and meta-analysis",
  "type": "peer-reviewed",
  "updated_at": "2026-11-02T12:22:07Z",
  "url": "https://research.draconitic.com/paper/dvgydmbmnt4hc",
  "venue": "Resuscitation plus",
  "versions": []
}