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Comment & Response
May 23/30, 2017

Intubation With Video Laryngoscopy vs Direct Laryngoscopy

Author Affiliations
  • 1Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston
JAMA. 2017;317(20):2130-2131. doi:10.1001/jama.2017.4480

To the Editor Dr Lascarrou and colleagues1 performed a randomized clinical trial comparing video laryngoscopy with direct laryngoscopy for first-pass success rates of orotracheal intubation in patients who were critically ill in the ICU. The first-pass success rate was not higher using video laryngoscopy.

The majority (83%-84%) of intubation attempts in this trial were made by nonexperts, and thus they largely determined the results. Although the authors stated that all participants had hands-on training using the equipment, the amount of training and the type of training were not specified. We believe this information is of central importance.