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Letter
Routine use of videolaryngoscopy in neonatal unit
  1. Rosie Ives,
  2. Anne Beh,
  3. Tosin Otunla,
  4. Vennila Ponnusamy
  1. NICU, Ashford and St Peter’s Hospitals NHS Trust, Chertsey, UK
  1. Correspondence to Dr Vennila Ponnusamy, NICU, Ashford and St Peter's Hospitals NHS Trust, Chertsey KT16 0PZ, UK; Vennilaponnusamy{at}nhs.net

https://doi.org/10.1136/archdischild-2019-318470

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    Videolaryngoscopy (VL) for intubation has been well studied in adults,1 but relatively less explored in neonates. A recent Cochrane review2 in neonates suggested possible role for VL in training. With increasing use of non-invasive ventilation, there is a need to ensure that less invasive surfactant administration (LISA) is performed to a high standard to ensure correct delivery of surfactant while allowing trainees to learn.

    We introduced Storz C-MAC VL, with size 0 and 1 Miller blades for all LISAs and elective intubations in NICU to study feasibility and success of the procedures, along with effectiveness in improving operators’ confidence. All LISAs and elective intubations were performed using VL following unit guidelines. All operators were taught to use VL screen view and trained using simulation. Senior doctors …

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    Footnotes

    • RI and AB are joint first authors.

    • Correction notice This paper has been updated since it was published online. The last author's surname was mis-spelt.

    • Contributors RI helped design the project and data collection spreadsheet, collected data, assisted in drafting the first manuscript and approved of the final manuscript as submitted. AB helped with data collection, analysed the sets of data, assisted in drafting the manuscript and approved of the final manuscript as submitted. TO helped with purchase of new videolaryngoscope, trained staff in videolaryngoscopy, assisted in drafting the manuscript and approved of the final manuscript as submitted. VP conceptualised and designed the quality improvement project, trained staff in videolaryngoscopy, co-drafted the initial manuscript with RI, analysed data with AB and approved of the final manuscript as submitted. VP is the guarantor of the study.

    • Funding Our Little Roo Charitable funds provided financial assistance to purchase the Storz C-MAC Videolaryngoscope with 2 blades.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.