Will Video Laryngoscopy become the norm?

[u/Radiant_Alchemist]

I love VL. They make standard laryngoscopes look brutal. They're less traumatizing, they give a better view, they have a better first-pass success. Sure you need to learn direct laryngoscopy but let's say in 5 years from now will they be used as routine in OR and ER intubations? Or will they be saved for hard cases?

I've been told that the equipment tends to suck and that we won't have VL as available as in the current department that I'm working so I should stick to Macintosh and McCoy.

[u/Soulja_Boy_Yellen]

If you’re saving a certain type of intubation for hard cases you’re going to suck at them and it won’t be useful. We all talk about busting out fiber optic and that’s great but we’ll probably still get our go to approach quicker and with a higher first pass success rate.

Hyperangulated is fine and will get you 98% of tubes but if that’s all you use you’re going to have a few hairy tubes so I avoid.

I think that VL standard geometry blades (C-mac) are great and not using them if able has become close to a deviation from standard of care. In my residency a lot of the faculty would turn the screen away from me so I had to do direct but they could watch and if needed they’d move the screen back. That I think helps if the wire disconnects from the video tower or the battery dies on the video screen (I’ve had that happen before)