Do not stop teaching anaesthesia trainees direct laryngoscopy.

Abstract

Videolaryngoscopy is superior to direct laryngoscopy in difficult intubation and is quicker to master. Some anaesthesiologists have advocated for videolaryngoscopy as the primary tool for endotracheal intubation. We argue that while prioritising videolaryngoscopy allows earlier success and skill retention for novices and doctors who only occasionally intubate, anaesthesiology residents must achieve proficiency in both techniques since not only do they have ample opportunity, but there are situations in which direct laryngoscopy can be either a rescue or even the primary technique.