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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Do not stop teaching anaesthesia trainees direct laryngoscopy.

Anthony M-H Ho1, Glenio B Mizubuti1, Daenis Camiré1

  • 1Department of Anesthesiology and Perioperative Medicine, Kingston Health Sciences Centre, Queen's University, Kingston, Canada.

Anaesthesia and Intensive Care
|October 22, 2025
PubMed
Summary
This summary is machine-generated.

Videolaryngoscopy offers advantages for novice and infrequent intubators. However, anesthesiology residents require proficiency in both videolaryngoscopy and direct laryngoscopy for diverse clinical scenarios.

Keywords:
Airway managementdirect laryngoscopymedical educationvideolaryngoscopy

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Area of Science:

  • Anesthesiology
  • Airway Management
  • Medical Education

Background:

  • Videolaryngoscopy demonstrates superiority over direct laryngoscopy for difficult intubations and is faster to learn.
  • Some anesthesiologists propose videolaryngoscopy as the primary endotracheal intubation method.

Purpose of the Study:

  • To evaluate the optimal training strategy for anesthesiology residents regarding videolaryngoscopy and direct laryngoscopy.
  • To determine the necessity of proficiency in both airway management techniques.

Main Methods:

  • Comparative analysis of learning curves and skill retention for videolaryngoscopy versus direct laryngoscopy.
  • Review of clinical scenarios where each technique may be preferred or required.

Main Results:

  • Prioritizing videolaryngoscopy enhances early success and skill retention for novices and infrequent users.
  • Direct laryngoscopy remains crucial as a rescue technique and in specific clinical situations.

Conclusions:

  • Anesthesiology residents must master both videolaryngoscopy and direct laryngoscopy.
  • Proficiency in both techniques ensures comprehensive airway management capabilities for all clinical contexts.