Reply to: Re: Chen et al.’s letter regarding the article “effect of prehospital advanced airway management for pediatric out-of-hospital cardiac arrest. Video laryngoscope use and time to intubation for pediatric out-of-hospital cardiac arrest

Abstract

We read with great interest Sabine Lemoine et al.’s letter, which focused on questioning the time to intubate on video laryngoscopy and direct laryngoscopy in out-of-hospital cardiac arrest (OHCA) of children [[1]Sabine Lemoine, Daniel Jost, Laure Alhanati, Jean-Pierre Tourtier, Re: Chen et al.’s letter regarding the article Effect of Prehospital Advanced Airway Management for Pediatric Out-Of-Hospital Cardiac Arrest.: Video Laryngoscope Use and Time to Intubation for Pediatric Out-of-Hospital Cardiac Arrest. Resuscitation. http://dx.doi.org/10.1016/j.resuscitation, 2017. 04.015.Google Scholar]. In order to evaluate the success and time to intubation (TTI) with the Macintosh laryngoscope vs the McGrath video laryngoscope during cardiopulmonary resuscitation in prehospital children tracheal intubation by paramedics used a PediaSIM pediatric high-fidelity manikin, Lukasz Szarpak et al found that the median time to intubation with the Macintosh vs McGrath was respectively 33 s vs 20 s in the scenario with uninterrupted chest compressions and 23 s vs 19.5 s in the scenario with interrupted chest compressions. They suggested that paramedics using McGrath video laryngoscope could improve cardiopulmonary resuscitation quality whether uninterrupted chest compressions or interrupted chest compressions in prehospital tracheal intubation of actual patients [[2]Szarpak L. Truszewski Z. Czyzewski L. Gaszynski T. Rodríguez-Núñez A. A comparison of the McGrath-MAC and Macintosh laryngoscopes for child tracheal intubation during resuscitation by paramedics. A randomized, crossover, manikin study.Am J Emerg Med. 2016; 34: 1338-1341Abstract Full Text Full Text PDF PubMed Scopus (27) Google Scholar]. In addition, An evidence-based review indicated that compared to direct laryngoscopy, the video laryngoscopy could enhance the percentage of glottic opening scores, associated success rates and had favorable in patients whether normal or difficult airways [[3]Green-Hopkins Israel Nagler Joshua Endotracheal intubation in pediatric patients using video laryngoscopy: an evidence-based review.Pediatr Emerg Med Pract. 2015; 12: 1-24PubMed Google Scholar]. Furthermore,the use of video laryngoscope intubation does not only seek the alignment of oral, pharyngeal, laryngeal axes coincidence, but also avoid a variety of techniques to improve the appearance of the glottis, need a smaller head movement and total success. It has been considered from anaesthesia and intensive care units that apt to cervical injury cases very much [[4]Hagberg C.A. Vogt-Harenkamp C.C. Iannucci D.G. Successful airway management of a patient with a known difficult airway with the direct coupler interface video laryngoscope.J Clin Anesth. 2007; 19: 629-631Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar]. Although accumulate data shows that video laryngoscopy to be beneficial in intubate than that of direct laryngoscopy. Nevertheless the success and the time to intubate is influenced by many factors, such as intubation experience and proficiency of the practitioner, patient condition and the type of video laryngoscope [[5]Yu Sun Yi Lu Huang Yan Hong Jiang Pediatric video laryngoscope versus direct laryngoscope: a meta-analysis of randomized controlled trials.Pediatr Anesth. 2014; 24: 1056-1065Crossref PubMed Scopus (121) Google Scholar]. Further multicentre-based investigation with larger sample is vital to illustrate the value of video laryngoscopy in out-of-hospital cardiac arrest of children. None of the author of this manuscript have any conflicts of interest.