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Background <p>Videolaryngoscopic endotracheal intubation (VL<sub>ETI</sub>) was implemented as a structured training module for paramedics as part of an annual continuing education program in a German EMS system. The aim was not to evaluate intubation success rates, but rather to assess perceived training needs and subjective confidence in the application of the technique.</p> Methods <p>An anonymous online cross-sectional survey was conducted among participants of the 2025 training program. Only datasets from paramedics were included in the analysis. Subjective confidence in five airway management techniques was ranked using a Borda score (rank 1 = 5 points, rank 5 = 1 point).</p> Results <p>Seventy-nine paramedics participated (62.7%). The iGel® achieved 336 of a maximum of 395 points. Macintosh-like VL<sub>ETI</sub> with stylet and with bougie each reached 256 points. Hyperangulated techniques scored considerably lower (171 and 166 points). About half of the participants reported a need for more frequent training.</p> Conclusions <p>Although VL<sub>ETI</sub> was generally well accepted, its perceived safety remained lower than that of supraglottic airway devices. These findings support structured, repeated, and quality-assured training approaches rather than an uncontrolled expansion of invasive airway techniques.</p>

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Perspektive von Notfallsanitäter:innen auf die videolaryngoskopische endotracheale Intubation bei außerklinischer Reanimation

  • 期刊论文

  • 发表日期：

    2026年6月18日

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  • Julia J. Grannemann,
  • Berrin Winkler,
  • Bernd Strickmann,
  • Gerrit Jansen

摘要

Background

Videolaryngoscopic endotracheal intubation (VLETI) was implemented as a structured training module for paramedics as part of an annual continuing education program in a German EMS system. The aim was not to evaluate intubation success rates, but rather to assess perceived training needs and subjective confidence in the application of the technique.

Methods

An anonymous online cross-sectional survey was conducted among participants of the 2025 training program. Only datasets from paramedics were included in the analysis. Subjective confidence in five airway management techniques was ranked using a Borda score (rank 1 = 5 points, rank 5 = 1 point).

Results

Seventy-nine paramedics participated (62.7%). The iGel® achieved 336 of a maximum of 395 points. Macintosh-like VLETI with stylet and with bougie each reached 256 points. Hyperangulated techniques scored considerably lower (171 and 166 points). About half of the participants reported a need for more frequent training.

Conclusions

Although VLETI was generally well accepted, its perceived safety remained lower than that of supraglottic airway devices. These findings support structured, repeated, and quality-assured training approaches rather than an uncontrolled expansion of invasive airway techniques.