r/emergencymedicine 22d ago

Advice Will Video Laryngoscopy become the norm?

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.

61 Upvotes

110 comments sorted by

View all comments

29

u/Zentensivism EM/CCM 22d ago

In πŸ‡ΊπŸ‡ΈπŸ‘¨β€βš–οΈπŸ’Έ you argue that a superior modality was not utilized on your first attempt when a case goes poorly?

11

u/Nearby_Maize_913 ED Attending 22d ago

same argument I use against people doing SC CVLs

3

u/Crunchygranolabro ED Attending 22d ago

Ultrasound guided SC? Although I’ve only done about 10 total.

6

u/Nearby_Maize_913 ED Attending 22d ago

blind. I know one can use us for scl but few know how

5

u/ayyy_MD ED Attending 22d ago

it's kind of awkward to use for subclav and I don't find it to be superior as a result although it can be useful for confirmation following. That being said, I always use US for any IJ or fem lines