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Objective <p>To evaluate intubation success and safety among extremely low birthweight (ELBW) infants before, during, and after the introduction of a new video laryngoscope (VL) in a Level 3 neonatal intensive care unit.</p> Study design <p>Single-center retrospective cohort study. Three phases (pre-introduction, introduction, and post-introduction), each with 40 intubations, were analyzed. Primary success and safety outcomes included first-attempt success and any tracheal intubation-associated events (TIAEs), respectively. Univariable analyses were used to compare patient, provider, and practice characteristics and outcomes by phase.</p> Results <p>No significant differences were observed between the pre-introduction and introduction phases. The post-introduction phase had significantly fewer TIAEs compared to both the pre-introduction (2 [5%] vs 8 [20%]; <i>p</i> = 0.04) and introduction phases (2 [5%] vs 8 [20%]; <i>p</i> = 0.04).</p> Conclusion <p>Safety outcomes improved with continued use of the new VL among ELBW intubations. Further research is needed to explore the role of training and experience with new airway technologies.</p>

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Measuring the impact of introducing a new video laryngoscope on intubation success and safety among extremely low birthweight infants

  • 期刊论文

  • 发表日期：

    2026年5月27日

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  • Kathleen E. Miller,
  • Nicole Parsons,
  • Matthew Huber,
  • Natalie Napolitano,
  • Matthew Felix,
  • Lori Christ,
  • Heidi Herrick,
  • Elizabeth E. Foglia,
  • Heather French

摘要

Objective

To evaluate intubation success and safety among extremely low birthweight (ELBW) infants before, during, and after the introduction of a new video laryngoscope (VL) in a Level 3 neonatal intensive care unit.

Study design

Single-center retrospective cohort study. Three phases (pre-introduction, introduction, and post-introduction), each with 40 intubations, were analyzed. Primary success and safety outcomes included first-attempt success and any tracheal intubation-associated events (TIAEs), respectively. Univariable analyses were used to compare patient, provider, and practice characteristics and outcomes by phase.

Results

No significant differences were observed between the pre-introduction and introduction phases. The post-introduction phase had significantly fewer TIAEs compared to both the pre-introduction (2 [5%] vs 8 [20%]; p = 0.04) and introduction phases (2 [5%] vs 8 [20%]; p = 0.04).

Conclusion

Safety outcomes improved with continued use of the new VL among ELBW intubations. Further research is needed to explore the role of training and experience with new airway technologies.