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Performance of the Bebé VieScope Versus Direct Laryngoscopy During Pediatric Cardiopulmonary Resuscitation: A
Pawel Wieczorek1, Halla Kaminska2, Michal Pruc3
1Pediatric Intensive Care Unit (PICU), John Paul II Upper Silesian Health Centre in Katowice, 40-752 Katowice, Poland.
Children (Basel, Switzerland)
|January 28, 2026
Summary
The VieScope (VSL) laryngoscope improved first-pass success and reduced intubation time in simulated pediatric cardiac arrest, especially during continuous chest compressions. This optical device offers superior performance over traditional Macintosh (MAC) and Miller (MIL) blades in critical resuscitation scenarios.
Area of Science:
- Pediatric Emergency Medicine
- Critical Care
- Medical Simulation
Background:
- Effective airway management is vital during pediatric cardiopulmonary resuscitation (CPR).
- Direct laryngoscopy with Macintosh (MAC) or Miller (MIL) blades is standard but challenging during continuous chest compressions.
- Optical devices like the VieScope (VSL) may improve intubation performance in dynamic resuscitation settings.
Purpose of the Study:
- To compare the first-pass success, intubation time, procedural difficulty, and glottic visualization of MAC, MIL, and VSL during simulated pediatric CPR.
- To evaluate device performance with and without continuous chest compressions.
Main Methods:
- A prospective, randomized crossover simulation study involving 53 medical students.
- Participants performed endotracheal intubation on a high-fidelity pediatric manikin using MAC, MIL, and VSL.
- Each technique was tested in scenarios with and without continuous chest compressions.
Main Results:
- Without chest compressions, VSL had the highest first-pass success (100%) and shortest intubation time (27.9s).
- During continuous chest compressions, VSL demonstrated the shortest intubation time (35.9s), best glottic visualization, and easiest intubation compared to MAC and MIL.
- First-pass success improved from MAC to MIL and VSL during chest compressions.
Conclusions:
- The VieScope laryngoscope showed superior performance in simulated pediatric cardiac arrest, particularly during continuous chest compressions.
- Optical tubular laryngoscopy, exemplified by VSL, may offer significant benefits in pediatric resuscitation.
- Further clinical investigation is needed to confirm these manikin-based findings in real-world pediatric cardiac arrest settings.
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