Videolaryngoscopy in anesthesia and perioperative medicine: innovations, challenges, and best practices

Recommendations from the Brazilian Society of Anesthesiology (SBA) for difficult airway management in adults

“…Video laryngoscopy also lowers the Cormack-Lehane classification grade when compared to difficult direct laryngoscopy and decreases esophageal intubation rates. 32 …”

“…For obese patients, using the video laryngoscope instead of the Macintosh-type laryngoscope is associated with more likely successful tracheal intubation on the first attempt, a result more consistent with the use of a tracheal tube introducer guide. 32 To prevent esophageal intubation, the routine use of a video laryngoscope has been recommended whenever possible, as well as monitoring exhaled CO2 (EtCO2) by capnography and pulse oximetry during any airway control situation. 33 …”

“…Adverse outcomes associated with video laryngoscopy include sore throat, laryngospasm, and lip, dental or mucosal lesions. 32 …”

Expert recommendations for managing difficult airways in adults and children: insights from the Brazilian Society of Anesthesiology (SBA)

“…Despite some unanswered questions, the available evidence supports the safety and efficacy of videolaryngoscopes when compared to direct laryngoscopes. 11 , 12 …”