[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-456249-105":59,"doc-detail-456249-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","do-not-stop-teaching-anaesthesia-trainees-direct-laryngoscopy","Do not stop teaching anaesthesia trainees direct laryngoscopy","","Videolaryngoscopy offers faster mastery and better performance than direct laryngoscopy in difficult intubation, including higher first-attempt success and improved glottic view, with a safer risk profile across adults and improved outcomes in children, neonates, and infants. The article argues that anaesthesiology residents must still become proficient in both approaches because direct laryngoscopy can serve as rescue or even primary technique when videolaryngoscopy fails or is unavailable.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/do-not-stop-teaching-anaesthesia-trainees-direct-laryngoscopy/456249/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/do-not-stop-teaching-anaesthesia-trainees-direct-laryngoscopy/456249.png","ImageObject",300,407,{"name":92,"@type":93},"Kurz","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why does the article emphasize teaching both videolaryngoscopy and direct laryngoscopy?","Question",{"text":112,"@type":113},"It argues that residents must be proficient in both because direct laryngoscopy may be required as rescue or as the primary technique when videolaryngoscopy is unavailable or fails.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What does the article cite about videolaryngoscopy compared with direct laryngoscopy?",{"text":117,"@type":113},"It notes evidence that videolaryngoscopy is quicker to master and is superior in difficult intubation, including higher first-attempt success rates and improved glottic view, with reduced failure rates and a safer risk profile.",{"name":119,"@type":110,"acceptedAnswer":120},"What problems can arise if trainees exclusively use videolaryngoscopy?",{"text":121,"@type":113},"The article warns this can cause skill degradation with direct laryngoscopy, limit development of direct-laryngoscopy competence, and leave no rescue plan if videolaryngoscopy or alternative tools are not available.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},456249,1790797180,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},2336478945635,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Do not stop teaching anaesthesia trainees direct laryngoscopy  \nAnthony M-H Ho 1, Glenio B Mizubuti 1 , Daenis Camire1, Jordan Leitch 1, Tracy Cupido 1, Saam Azargive 1 and Cian Hurley2   \nAnaesthesia and Intensive Care 2026, Vol. 54(1) 7–10  \n© The Author(s) 2025  \nArticle reuse guidelines: [sagepub.com/journals-permissions](sagepub.com/journals-permissions)[ ](sagepub.com/journals-permissions)[DOI: 10.1177/0310057X251364278](DOI: 10.1177/0310057X251364278)[ ](DOI: 10.1177/0310057X251364278)[journals.sagepub.com/home/aic](journals.sagepub.com/home/aic)  \nAbstract  \nVideolaryngoscopy 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.  \nKeywords  \nAirway management, direct laryngoscopy, medical education, videolaryngoscopy  \nA 2022 systematic review has shown that videolaryngoscopy of all designs likely reduces the rate of failed intubation, results in a higher rate of first-attempt successful intubation with improved glottic view, and provides a safer risk profile compared with direct laryngoscopy for all adults undergoing endotracheal intubation.1 Videolaryngoscopy has also been shown to improve the first-attempt intubation success rate in children with anticipated difficult airways, neonates and infants.2–5 Hansel and colleagues’ systematic review provides insights regarding the relative performance of videolaryngoscopy compared with direct laryngoscopy.1 As compared with direct laryngoscopy, videolaryngoscopy with standard geometry blades (i.e. VL-Macintosh) and channelled blades likely reduce the rates of hypoxaemic events with intubation. Furthermore, videolaryngoscopy with hyperangulated blades likely reduces the rate of oesophageal intubation and failed tracheal intubation in anticipated difficult airways compared with direct laryngoscopy. In infants, the use of standard geometry blades (i.e. Miller blade) with a video screen visible to the instructor significantly improves the intubation success of inexperienced operators as compared with direct laryngoscopy.3  \nCiting the many superior aspects of videolaryngoscopy over direct laryngoscopy, some highly respected anaesthesiologists have advocated for videolaryngoscopy  \nto be the primary tool for endotracheal intubation.6,7 Apparently, many Danish8 (and other9) anaesthetic departments have gone further with prioritising videolaryngoscopy such that some younger anaesthesiologists have never learned (or have not had enough practice) to use direct laryngoscopy. For example, a recent survey of Irish anaesthesia trainees carried out in January 2023 showed that 40% of them avoid direct laryngoscopy for all intubations, and only 56% are confident in using direct laryngoscopy for critically ill patients.10  \nAnaesthesiologists typically intubate a dozen or more patients every week. There are plenty of opportunities to become proficient in both videolaryngoscopy and direct laryngoscopy. The two techniques, therefore, need not to be mutually exclusive. We believe that using videolaryngoscopy to the total exclusion of  \n1 Department of Anesthesiology and Perioperative Medicine, Kingston Health Sciences Centre, Queen’s University, Kingston, Canada 2Department of Anaesthesia and Intensive Care Medicine, University Hospital Waterford, Waterford, Ireland  \nCorresponding author:  \nGlenio B Mizubuti, Department of Anesthesiology and Perioperative Medicine, Queen’s University, Victory 2 Wing, Kingston General Hospital, 76 Stuart Street, Kingston, ON, Canada, K7L 2V7.  \nEmail: [g","cbCaiulLKD8AZfjg","https://ap.wps.com/l/cbCaiulLKD8AZfjg","pdf",507616,"English","# Abstract\n# Background and evidence\n## Adult outcomes\n## Pediatric and infant outcomes\n# Rationale for teaching both techniques\n## Risks of excluding direct laryngoscopy\n## Situations where direct laryngoscopy is essential\n# Evidence from trials and meta-analyses\n## Failure rates and rescue pathways\n## Timing considerations","[{\"question\":\"Why does the article emphasize teaching both videolaryngoscopy and direct laryngoscopy?\",\"answer\":\"It argues that residents must be proficient in both because direct laryngoscopy may be required as rescue or as the primary technique when videolaryngoscopy is unavailable or fails.\"},{\"question\":\"What does the article cite about videolaryngoscopy compared with direct laryngoscopy?\",\"answer\":\"It notes evidence that videolaryngoscopy is quicker to master and is superior in difficult intubation, including higher first-attempt success rates and improved glottic view, with reduced failure rates and a safer risk profile.\"},{\"question\":\"What problems can arise if trainees exclusively use videolaryngoscopy?\",\"answer\":\"The article warns this can cause skill degradation with direct laryngoscopy, limit development of direct-laryngoscopy competence, and leave no rescue plan if videolaryngoscopy or alternative tools are not available.\"}]","Do not stop teaching anaesthesia trainees direct laryngoscopy | PDF",1790745418]