Video vs Augmented Direct Laryngoscopy in ED Adult Intubations: a NEAR Study

This study compared first attempt intubation success using direct laryngoscopy augmented by laryngeal manipulation, ramped patient positioning and use of a bougie (A-DL) with unaided video laryngoscopy (VL) in adult emergency department intubations.

Video laryngoscopy used without any augmenting maneuver, device or technique resulted in higher first attempt success than does direct laryngoscopy that is augmented by use of a bougie, external laryngeal manipulation, ramping, or combinations thereof.