Correspondence  |   July 2017
Apneic Intubation: Video Laryngoscopy Lacks the Continuous Ventilation Offered by Other Airway Management Techniques
Author Notes
  • University of California San Diego, San Diego, California (S.T.H.). sherway@ucsd.edu
  • (Accepted for publication April 9, 2017.)
    (Accepted for publication April 9, 2017.)×
Article Information
Correspondence
Correspondence   |   July 2017
Apneic Intubation: Video Laryngoscopy Lacks the Continuous Ventilation Offered by Other Airway Management Techniques
Anesthesiology 7 2017, Vol.127, 201-202. doi:10.1097/ALN.0000000000001691
Anesthesiology 7 2017, Vol.127, 201-202. doi:10.1097/ALN.0000000000001691
The article by Aziz et al.1  significantly contributes toward understanding the response of anesthesiologists to failed intubation attempts with conventional direct laryngoscopy. We are concerned, however, that one unwise message that may be drawn from this paper is that video laryngoscopy is the sine qua non for management of an unexpected difficult direct laryngoscopy. Indeed, Aziz et al. found an 8% failure rate with video laryngoscopy (90 of 1,122), underscoring the fact that anesthesiologists must have other trusted responses to failed conventional direct laryngoscopy. Additionally, it must be recognized that video laryngoscopy is an apneic intubation technique; oxygenation and ventilation are not maintained during laryngoscopy and intubation.
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