Videolaryngoscopy is now a widely available tool for airway management, yet airway practitioners continue to debate its exact role, the evidence for its benefit over direct laryngoscopy and the optimal technique for its use.

Leading experts in videolaryngoscopy, Tim Cook (anaesthetist & intensivist) and George Kovacs (emergency physician), discuss evidence, opinion and controversies and take questions from the online audience.

THIS EVENT TOOK PLACE ON 12TH JANUARY 2021

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CONTRIBUTORS

	Tim Cook @doctimcook Anaesthetist/Intensivist, Bath, UK UK National Audit Projects 3-6 RCOA (UK) Advisor on Airways Lead Author UK COVID Airway Guidelines Co-Author DAS Guidelines for Critically Ill Adults
	George Kovacs @kovacsgj Emergency Physician, Halifax, Canada Medical Director Lifeflight Co-author Canadian Airway Focus Group Guidelines Working Group Universal Airway Guidelines Co-Director AIME Airway Program

RESOURCES

Arulkumaran et al: Videolaryngoscopy versus direct laryngoscopy for emergency orotracheal intubation outside the operating room: a systematic review and metaanalysis. BJA 2018 

Aziz et al: Predictors of difficult videolaryngoscopy with GlideScope® or C-MAC® with D-blade: secondary analysis from a large comparative videolaryngoscopy trial. BJA 2016

Cook et al: Universal videolaryngoscopy: a structured approach to conversion to videolaryngoscopy for all intubations in an anaesthetic and intensive care department. BJA 2017.

Cook: Strategies for the prevention of airway complications – a narrative review. Anaesthesia 2018

Cooper: Implementing universal videolaryngoscopy: how to do it and what to expect. BJA 2017

Cooper et al: Early clinical experience with a new videolaryngoscope (GlideScope®) in 728 patients. Can J Anaesth 2005

Driver et al: Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation. A Randomized Clinical Trial. JAMA 2018

Gu et al: A deliberately restricted laryngeal view with the GlideScope video laryngoscope is associated with faster and easier tracheal intubation when compared with a full glottic view: a randomized clinical trial. Can J Anaesth 2016

Kovacs: Airway management: ‘‘the times they are a-changin’’. Canadian Journal of Emergency Medicine 2013

Kovacs et al: Clinical Cadavers as a Simulation Resource for Procedural Learning. Acad Emerg Med Education and Training 2018

Kovacs and Levitan: Redirecting the Laryngoscopy Debate and Optimizing Emergency Airway Management. Acad Emerg Med 2020

Lewis et al: Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation (Review). Cochrane Database of Systematic Reviews 2016

Lewis et al: Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation: a Cochrane Systematic Review. BJA 2017

Malpas et al: The videoscopic view may not be significantly superior to the directly sighted peroral view during Macintosh-style videolaryngoscopy: a randomized equivalence cadaver trial. Can J Anaesth 2020

Meitzen and Benumof: Video Laryngoscopy: Positives, Negatives, and Defining the Difficult Intubation. Anesthesia and Analgesia 2019

Pandit et al: The Difficult Airway Society ‘ADEPT’ Guidance on selecting airway devices: the basis of a strategy for equipment evaluation. Anaesthesia 2011

Pieters et al: Videolaryngoscopy vs. direct laryngoscopy use by experienced anaesthetists in patients with known difficult airways: a systematic review and meta-analysis. Anaesthesia 2017

Sakles et al: The utility of the C-Mac as a direct laryngoscope for intubation in the Emergency Department. Journal of Emergency Medicine 2016

Sakles et al: The Impact of a Soiled Airway on Intubation Success in the Emergency Department When Using the GlideScope or the Direct Laryngoscope. Academic Emergency Medicine 2017.