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Comment & Response
May 23/30, 2017

Intubation With Video Laryngoscopy vs Direct Laryngoscopy—Reply

Author Affiliations
  • 1Medical Intensive Care Unit, CHU Nantes, Nantes, France
  • 2Clinical Research Unit, District Hospital Centre, La Roche-sur-Yon, France
JAMA. 2017;317(20):2131-2132. doi:10.1001/jama.2017.4486

In Reply Drs Loh and Tan comment on the long duration of intubation using the video laryngoscope vs the laryngoscope. The time differed from previous studies because counting started at anesthesia induction. Duration of intubation is more accurately determined this way than at the beginning of laryngoscopy in which introduction of the (video) laryngoscope into the mouth is part of the intubation process and can be delayed or prolonged (eg, if mouth opening limitation is underestimated). The median intubation time of 3 minutes included the time needed for drugs to be injected and take action. The laryngoscopy time in our study was similar to that reported by Ng and colleagues.1