VIDLARECO
Trial question
What is the role of videolaryngoscope for TEE probe insertion in intubated critically ill patients?
Study design
Multi-center
Single blinded
RCT
Population
100 patients.
Inclusion criteria: intubated critically ill patients.
Key exclusion criteria: age < 18 years and > 85 years; oropharyngeal infection; esophageal injury and anatomic abnormalities; consent refusal for participating in the trial.
Interventions
N=50 videolaryngoscope insertion technique (TEE probe insertion using videolaryngoscope).
N=50 conventional insertion technique (TEE probe insertion using conventional blind insertion technique).
Primary outcome
Successful transesophageal echocardiogram probe insertion on first attempt
90%
58%
90.0 %
67.5 %
45.0 %
22.5 %
0.0 %
Videolaryngoscope insertion
technique
Conventional insertion
technique
Significant
increase ▲
NNT = 3
Significant increase in successful TEE probe insertion on the first attempt (90% vs. 58%; AD 32%, 95% CI 16 to 48).
Secondary outcomes
Significant increase in overall success rate (100% vs. 72%; AD 28%, 95% CI 16 to 40).
Significant decrease in incidence for pharyngeal mucosal injury (14% vs. 52%; AD -38%, 95% CI -21 to -55).
Conclusion
In intubated critically ill patients, videolaryngoscope insertion technique was superior to conventional insertion technique with respect to successful TEE probe insertion on the first attempt.
Reference
Manuel Taboada, Agustín Cariñena, Ana Estany-Gestal et al. Videolaryngoscope versus Conventional Technique for Insertion of a Transesophageal Echocardiography Probe in Intubated ICU Patients (VIDLARECO trial). A Randomized Clinical trial. Anaesth Crit Care Pain Med. 2024 Apr;43(2):101346.
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