Applied forces during neonatal intubation with direct and video laryngoscopy at different bed elevations: a randomized crossover manikin study
• In a neonatal manikin model, intubating with a videolaryngoscope and the resuscitation table leveled at operator's navel was associated with the lowest forces applied to the epiglottis and the hard palate. • The participants achieved a high success rate at the first attempt and comparable procedure times with all combinations of direct/video laryngoscope and low/high bed elevation. • Applying lower forces during neonatal intubation may be desirable but the clinical implications remain to be evaluated in clinical studies.
Authors
- Sabina Maglio (ORCID: https://orcid.org/0000-0002-7922-5506)
- G. Pasquali (ORCID: https://orcid.org/0000-0002-3166-3857)
- Arianna Menciassi (ORCID: https://orcid.org/0000-0001-6348-1081)
- Francesco Cavallin (ORCID: https://orcid.org/0000-0002-0831-3971)
- Selene Tognarelli (ORCID: https://orcid.org/0000-0003-1135-8625)
- Paolo Ernesto Villani
- Daniele Trevisanuto (ORCID: https://orcid.org/0000-0002-7126-5298)
Institutions
- University of Padua (IT)
- Scuola Superiore Sant'Anna (IT)
- R2M Solution (Italy) (IT)
- Fondazione Poliambulanza Istituto Ospedaliero (IT)
Publication Details
- Journal
- European Journal of Pediatrics
- Published
- 2025-11-05
- DOI
- https://doi.org/10.1007/s00431-025-06524-8
- Primary Topic
- Airway Management and Intubation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00