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Related Experiment Video

Updated: Aug 12, 2025

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
03:58

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

890

Retire the Conventional Laryngoscope?

Christopher Bailey1, Rhys Dela Cruz2, Shari Burns3

  • 1is a nurse anesthetist at the University of Tennessee Medical Center in Knoxville, Tennessee.

AANA Journal
|February 1, 2023
PubMed
Summary
This summary is machine-generated.

Video laryngoscopy does not appear to offer advantages over conventional direct laryngoscopy for routine adult intubations. Experienced anesthesia providers can continue using direct laryngoscopy, but video laryngoscopes should be accessible.

Keywords:
adultintubationlaryngoscopyvideo laryngoscope

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Area of Science:

  • Anesthesiology
  • Medical Devices
  • Airway Management

Background:

  • Video laryngoscopy is an alternative to direct laryngoscopy, particularly when visualization is difficult.
  • Previous reviews have examined its efficacy, necessitating an update with recent evidence.

Purpose of the Study:

  • To systematically review current evidence on whether video laryngoscopy should replace direct laryngoscopy for routine adult intubations.
  • To compare first-pass success rates, intubation time, and oropharyngeal trauma between the two methods.

Main Methods:

  • Conducted a systematic review of randomized controlled trials comparing video laryngoscopes with Macintosh laryngoscopes.
  • Included studies focused on routine adult intubations by experienced anesthesia providers in the operating room.

Main Results:

  • Six randomized controlled trials were included.
  • No significant difference was found in first-pass endotracheal intubation success, time to intubation, or oropharyngeal trauma between video and direct laryngoscopy.
  • Studies were not uniformly powered to detect differences in outcomes.

Conclusions:

  • Current evidence does not support replacing direct laryngoscopy with video laryngoscopy for routine adult intubations.
  • Conventional laryngoscopy remains suitable for non-difficult airways, with video laryngoscopes as a backup.
  • Further large-scale studies are required to evaluate video laryngoscopy for all adult intubations.