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Table 2 Direct and video laryngoscopy and HEAVEN criteria to predict failure of intubation on the first attempt

From: The HEAVEN criteria predict laryngoscopic view and intubation success for both direct and video laryngoscopy: a cohort analysis

Parameter

Failure at First Intubation Attempt

Failure of First Intubation Attempt without Desaturation

Direct Laryngoscopy

Video Laryngoscopy

Direct Laryngoscopy

Video Laryngoscopy

Odds Ratio (95% CI)

P

Odds Ratio (95% CI)

P

Odds Ratio (95% CI)

P

Odds Ratio (95% CI)

P

Hypoxemia

1.21 (0.81–1.83)

0.352

1.01 (0.76–1.34)

0.928

1.59 (1.01–2.51)

0.0478

1.60 (1.21–2.11)

< 0.001

Extremes of size

2.19 (1.53–3.13)

< 0.001

2.49 (1.99–3.12)

< 0.001

1.77 (1.17–2.69)

0.008

1.72 (1.34–2.21)

< 0.001

Anatomic

3.65 (2.55–5.23)

< 0.001

3.15 (2.49–4.00)

< 0.001

2.87 (1.92–4.28)

< 0.001

2.22 (1.71–2.88)

< 0.001

Vomit/blood/fluid

1.54 (1.18–2.02)

0.002

1.80 (1.50–2.17)

< 0.001

1.70 (1.21–2.38)

0.002

1.95 (1.59–2.38)

< 0.001

Exsanguination

1.74 (0.77–3.91)

0.180

1.24 (0.70–2.21)

0.456

2.48 (1.10–5.59)

0.028

1.55 (0.88–2.76)

0.132

Neck mobility

2.11 (1.76–2.21)

< 0.001

1.51 (1.24–1.84)

< 0.001

1.66 (1.17–2.35)

0.004

1.15 (0.93–1.42)

0.212

Total # criteria

1.97 (1.76–2.21)

< 0.001

1.84 (1.71–1.98)

< 0.001

1.92 (1.69–2.19)

< 0.001

1.66 (1.53–1.80)

< 0.001

  1. Multiple logistic regression analysis exploring the relationship between the individual HEAVEN criteria or the total number of HEAVEN criteria and failure to intubate on the first attempt with and without desaturation (adjusted for age, gender, clinical category, choice of paralytic, and location of the procedure)