Correspondence  |   June 2017
Video Laryngoscopes and Best Rescue Strategy for Unexpected Difficult Airways: Do Not Forget a Combined Approach with Flexible Bronchoscopy!
Author Notes
  • Mediterranean Institute for Transplantation and Advanced Specialized Therapies, Palermo, Italy (F.S.). fgsanfilippo@ismett.edu
  • (Accepted for publication March 13, 2017.)
    (Accepted for publication March 13, 2017.)×
Article Information
Correspondence
Correspondence   |   June 2017
Video Laryngoscopes and Best Rescue Strategy for Unexpected Difficult Airways: Do Not Forget a Combined Approach with Flexible Bronchoscopy!
Anesthesiology 6 2017, Vol.126, 1203. doi:10.1097/ALN.0000000000001639
Anesthesiology 6 2017, Vol.126, 1203. doi:10.1097/ALN.0000000000001639
Asai1  describes the issue of the unexpected difficult airways, recommending to avoid repeated attempts and to seek an effective alternative strategy early. Based on the results of Aziz et al.,2  Asai suggests that video laryngoscopy may represent the best rescue alternative and that a randomized trial is highly desirable. Failure rates of rescue video laryngoscopy are nonnegligible, as shown by Aziz et al. (8% incidence),2  which is not trivial considering the number of surgical procedures performed worldwide.3  Although video laryngoscopes may be helpful, they seem to be far from the ultimate solution and, when designing a randomized trial, the anesthesiology community should not miss the opportunity to evaluate something else.
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