Is it Time to Replace Direct Laryngoscopy with Video Laryngoscopy in Airway Management in Training Facilities?

Abstract

Endotracheal Intubation (EI) remains an essential procedure to protect the airway and maintain means for oxygenation and ventilation in acutely ill patients as well as those undergoing general anesthesia during surgical procedures [1 3]. Outside the operation room, it carries significant hazard, as it is fre-quently performed by inexperienced healthcare providers and often physicians-in-training [4 6]. In some institutions, midlevel providers and respiratory therapists also manage the airway in emergency circumstances. This has led to a significant risk of complications when airway management is performed outside the confines of the operating room.