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.
Daniel Saddawi-Konefka, Keith H. Baker, Jeanine P. Wiener-Kronish. Intubation With Video Laryngoscopy vs Direct Laryngoscopy. JAMA. 2017;317(20):2130–2131. doi:10.1001/jama.2017.4480