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