Documenting Difficult Intubation in the Context of Video Laryngoscopy: Results From a Clinician Survey

Ambiguity in defining difficult intubation involving video laryngoscopy (VL) may pose potential risks to patients. To improve airway documentation practices, we surveyed anesthesia providers on their difficult intubation interpretations and VL use. Of clinicians surveyed, 66.4% considered 3 or more intubation attempts difficult, while only 10.9% considered Cormack-Lehane grade 3-4 view with direct laryngoscopy difficult. Moreover, over 50% would choose VL as their first-line device for anticipated difficult intubation. These results suggest that clinicians inconsistently interpret difficult intubations, especially in cases involving VL. There is a need for provider education and standardization of airway documentation, inclusive of VL.