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Video laryngoscopy (VL) has been shown to make intubation easier and safer compared with traditional direct laryngoscopy (DL). These authors assessed intubation success for VL compared with several inexpensive and widely taught methods to augment DL (laryngeal manipulation, ramped positioning, bougie, and combinations of these). Data were obtained from the National Emergency Airway Registry (NEAR), a prospective observational registry of emergency department (ED) intubations in 25 academic and community hospitals.
During 2016 and 2017, NEAR included 11,714 intubations, of which 3002 used unaided VL and 3936 used augmented DL as the first approach. First-pass success was significantly higher for VL (91%) than for any augmented DL approach (69…