Direct laryngoscopy may be the modality of choice when it comes to intubating children, but its success rate pales compared with that of the video laryngoscope when used in children who are difficult to intubate, according to a multicenter research team.

The team’s analysis of the Pediatric Difficult Intubation (PeDI) Registry also found that intubation success rate is significantly lower in smaller patients.

Researchers report that the GlideScope was used in a total of 600 attempts, 293 of which were successful, for a 48.8% overall success rate. By comparison, direct laryngoscopy was used in a total of 903 attempts, with an overall success rate of 11.4%.