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Anaes SAQsAirway management

Anaes SAQs · Airway management

Video laryngoscopy — device types, advantages over direct laryngoscopy, and the evidence

Final SAQ — the principle of the indirect tip-camera view; the channelled (Airtraq, Pentax AWS) versus the non-channelled/hyperangulated (GlideScope, McGrath portable, C-MAC dual-role) families; the advantages (fewer failed intubations, better glottic view, no axis alignment, shared view for teaching and supervision, recording); the disadvantages (fogging and secretions, 'can see but cannot tube', screen and power dependence, cost, learning curve); the midline technique with a hockey-stick stylet; and the evidence subtlety that an improved view does not always translate into faster or easier intubation, particularly in the routine case and in infants.

10 marks10 min3 min readVerification in progress

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Prompt
Outline the types of video laryngoscope, the advantages of video laryngoscopy over direct laryngoscopy, and the limitations of the evidence that it improves intubation outcome.

Question

Outline the types of video laryngoscope, the advantages of video laryngoscopy over direct laryngoscopy, and the limitations of the evidence that it improves intubation outcome.

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References8ShowHide
  1. [1]Uzun DD, et al. Direct- versus video laryngoscopy during suction assisted laryngoscopy and airway decontamination. Sci Rep, 2026.PMID 42362759
  2. [2]No author listed. Video Laryngoscopy vs. Direct Laryngoscopy for Infants. Anesth Analg, 2026.PMID 42307927
  3. [3]Flynn SG, et al. Complementary views: addressing blind spots in the direct versus video laryngoscopy debate. BMJ Paediatr Open, 2026.PMID 42336796
  4. [4]Ipsen EO, et al. Remifentanil Versus Rocuronium for Optimising Video Laryngoscopy Assisted Tracheal Intubation. Acta Anaesthesiol Scand, 2026.PMID 42304626
  5. [5]Kitsiripant C, et al. Mismatch Between Preoperative Airway Assessment and Unanticipated Difficult Tracheal Intubation. Healthcare (Basel), 2026.PMID 42354478
  6. [6]Black KM, et al. Anesthesia Care, Complications, and Airway Management for Spinal Muscular Atrophy. Anesth Analg, 2026.PMID 42363899
  7. [7]Lewis SR, et al. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database Syst Rev, 2016.PMID 27844477
  8. [8]Frerk C, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth, 2015.PMID 26556848
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