Videolaryngoscopy: should it replace direct laryngoscopy? a pro-con debate
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Updated: May 17, 2026

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Published on: March 18, 2020
Kenneth P Rothfield1, Sebastian G Russo
1Department of Anesthesiology, St. Agnes Hospital, Baltimore, MD 21229, USA. krothfiel@stagnes.org
Abstract:
Although it is universally recognized that the advent of videolaryngoscopy has revolutionized airway management, there is considerable disagreement over the future role of direct laryngoscopy and whether direct laryngoscopy should be relegated to a legacy technique. Arguments against the continued relevance of traditional intubation methods include increased success and decreased complications when videolaryngoscopy is utilized, as well as the fact that videolaryngoscopy enhances the performance of nonanesthesia providers. However, proponents of direct laryngoscopy cite technical issues, as well as instances in which intubation by videolaryngoscopy fails despite successful visualization. This argument serves as the rationale for the continued use of direct laryngoscopy, particularly for airway management experts.
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