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Interest is increasing in use of video laryngoscopy both for routine intubation and for rescue intubation when conventional laryngoscopy fails. Researchers in Germany prospectively implemented a study protocol in which the McGrath video laryngoscope would be used for all cases of unanticipated intubation failure with a Macintosh laryngoscope during routine general anesthesia with neuromuscular blockade. During a 6-month period, 61 patients met inclusion criteria: Cormack-Lehane grade III or IV view with a standard Macintosh blade and failure to intubate after a maximum of three attempts by an experienced anesthetist. Video laryngoscopes were provided by the manufacturer.
Rescue tracheal intubation was successful in 58 patients (95%) with the…