OBJECTIVE: The Airway Section of the Spanish Society of Anaesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), the Latin American Federation of Emergency Medicine (FLAME) and an international group of airway experts (IAG) aimed to establish multidisciplinary recommendations advocating for the universal use of videolaryngoscopy (VL) in both emergency and planned care settings. DESIGN: A committee of experts from the two national scientific societies and an international group of airway experts was convened. Relevant research questions aligning with the document's objective were identified. A rapid systematic review of the evidence was performed, and the quality of evidence was assessed. Recommendations were formulated using the GRADE methodology (Grading of Recommendations Assessment, Development, and Evaluation) The entire process was conducted independently of industry funding. METHODS: Six domains were defined pertaining to VL: Clinical Benefits; Infrastructure and Accessibility; Clinical Guidelines and Protocols; Teaching and Clinical Training; Dissemination and Promotion of Clinical Benefits; Innovation, Sustainability, and Research. For each domain, specific questions were developed using the PICO model (Population, Intervention, Comparison, and Outcomes). A literature search was conducted following PRISMA-R guidelines and analysed using the GRADE methodology. RESULTS: The synthesis process resulted in 12 recommendations. Due to the low quality of available evidence, most recommendations were formulated based on expert opinion. CONCLUSION: The experts achieved strong consensus, formulating 12 recommendations to support strategies aimed at universalising the use of videolaryngoscopy.

From the Anesthesiology and Perioperative Medicine University Hospital Complex of A Coruña A Coruña Galicia Spain

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Hansel J, Rogers AM, Lewis SR, et al. Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation. Cochrane Database Syst Rev 2022; 4:CD011136.

Orrock JL, Ward PA, McNarry AF. Routine use of videolaryngoscopy in airway management. Int Anesthesiol Clin 2024; 62:48–58.

Gómez-Ríos MA, López T, Abad-Gurumeta A, et al. Promoting the widespread adoption of videolaryngoscopy: addressing resistance to change. Expert Rev Med Devices 2024; 21:667–669.

Gómez-Ríos M, Casans-Francés R, Abad-Gurumeta A, et al. The role of videolaryngoscopy in airway management of COVID-19 patients. Anaesthesiol Intensive Ther 2020; 52:344–345.

Brewster DJ, Chrimes N, Do TB, et al. Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group. Med J Aust 2020; 212:472–481.

Cook TM, Boniface NJ, Seller C, et al. Universal videolaryngoscopy: a structured approach to conversion to videolaryngoscopy for all intubations in an anaesthetic and intensive care department. Br J Anaesth 2018; 120:173–180.

Stevens A, Hersi M, Garritty C, et al. Rapid review method series: interim guidance for the reporting of rapid reviews. BMJ Evid Based Med 2025; 30:118–123.

Ouzzani M, Hammady H, Fedorowicz Z, et al. Rayyan-a web and mobile app for systematic reviews. Syst Rev 2016; 5:210.

Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol 2011; 64:383–394.

Chrimes N, Higgs A, Rehak A. Lost in transition: the challenges of getting airway clinicians to move from the upper airway to the neck during an airway crisis. Br J Anaesth 2020; 125:e38–e46.

Mazzinari G, Rovira L, Henao L, et al. Effect of dynamic versus stylet-guided intubation on first-attempt success in difficult airways undergoing glidescope laryngoscopy: a randomized controlled trial. Anesth Analg 2019; 128:1264–1271.

Liao CC, Liu FC, Li AH, et al. Video laryngoscopy-assisted tracheal intubation in airway management. Expert Rev Med Devices 2018; 15:265–275.

Amalric M, Larcher R, Brunot V, et al. Impact of videolaryngoscopy expertise on first-attempt intubation success in critically ill patients. Crit Care Med 2020; 48:e889–e896.

Bodily JB, Webb HR, Weiss SJ, et al. Incidence and duration of continuously measured oxygen desaturation during emergency department intubation. Ann Emerg Med 2016; 67:389–395.

Kerslake D, Oglesby AJ, Di Rollo N, et al. Tracheal intubation in an urban emergency department in Scotland: a prospective, observational study of 3738 intubations. Resuscitation 2015; 89:20–24.

Goto T, Watase H, Morita H, et al. Japanese Emergency Medicine Network Investigators. Repeated attempts at tracheal intubation by a single intubator associated with decreased success rates in emergency departments: an analysis of a multicentre prospective observational study. Emerg Med J 2015; 32:781–786.

Kim J, Kim K, Kim T, et al. The clinical significance of a failed initial intubation attempt during emergency department resuscitation of out-of-hospital cardiac arrest patients. Resuscitation 2014; 85:623–627.

Sakles JC, Chiu S, Mosier J, et al. The importance of first pass success when performing orotracheal intubation in the emergency department. Acad Emerg Med 2013; 20:71–78.

N⊘rskov AK, Rosenstock CV, Wetterslev J, et al. Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188 064 patients registered in the Danish Anaesthesia Database. Anaesthesia 2015; 70:272–281.

Natt BS, Malo J, Hypes CD, et al. Strategies to improve first attempt success at intubation in critically ill patients. Br J Anaesth 2016; 117 Suppl 1:i60–i68.

Crawley SM, McGuire B. New dimensions in airway management: risks for healthcare staff. Anaesthesia 2020; 75:1420–1423.

Marshall SD, Pandit JJ. Radical evolution: the 2015 Difficult Airway Society guidelines for managing unanticipated difficult or failed tracheal intubation. Anaesthesia 2016; 71:131–137.

El-Boghdadly K, Aziz MF. Face-mask ventilation: the neglected essentials? Anaesthesia 2019; 74:1227–1230.

Downey AW, Duggan LV, Adam Law J. A systematic review of meta-analyses comparing direct laryngoscopy with videolaryngoscopy. Can J Anaesth 2021; 68:706–714.

Hinkelbein J, Iovino I, De Robertis E, et al. Outcomes in video laryngoscopy studies from 2007 to 2017: systematic review and analysis of primary and secondary endpoints for a core set of outcomes in video laryngoscopy research. BMC Anesthesiol 2019; 19:47.

Prekker ME, Driver BE, Trent SA, et al. DEVICE Investigators and the Pragmatic Critical Care Research Group. Video versus direct laryngoscopy for tracheal intubation of critically ill adults. N Engl J Med 2023; 389:418–429.

Russotto V, Lascarrou JB, Tassistro E, et al. INTUBE Study Investigators. Efficacy and adverse events profile of videolaryngoscopy in critically ill patients: subanalysis of the INTUBE study. Br J Anaesth 2023; 131:607–616.

Kim YS, Song J, Lim BG, et al. Different classes of videoscopes and direct laryngoscopes for double-lumen tube intubation in thoracic surgery: a systematic review and network meta-analysis. PLoS One 2020; 15:e0238060.

Hoshijima H, Mihara T, Denawa Y, et al. Airtraq® is superior to the Macintosh laryngoscope for tracheal intubation: systematic review with trial sequential analysis. Am J Emerg Med 2019; 37:1367–1368.

Jiang J, Ma DX, Li B, et al. Videolaryngoscopy versus direct laryngoscopy for nasotracheal intubation: a systematic review and meta-analysis of randomised controlled trials. J Clin Anesth 2019; 52:6–16.

Arulkumaran N, Lowe J, Ions R, et al. Videolaryngoscopy versus direct laryngoscopy for emergency orotracheal intubation outside the operating room: a systematic review and meta-analysis. Br J Anaesth 2018; 120:712–724.

Hoshijima H, Denawa Y, Tominaga A, et al. Videolaryngoscope versus Macintosh laryngoscope for tracheal intubation in adults with obesity: a systematic review and meta-analysis. J Clin Anesth 2018; 44:69–75.

Liu TT, Li L, Wan L, et al. Videolaryngoscopy vs. Macintosh laryngoscopy for double-lumen tube intubation in thoracic surgery: a systematic review and meta-analysis. Anaesthesia 2018; 73:997–1007.

Jiang J, Ma D, Li B, et al. Video laryngoscopy does not improve the intubation outcomes in emergency and critical patients - a systematic review and meta-analysis of randomized controlled trials. Crit Care 2017; 21:288.

Pieters BMA, Maas EHA, Knape JTA, et al. Videolaryngoscopy vs. direct laryngoscopy use by experienced anaesthetists in patients with known difficult airways: a systematic review and meta-analysis. Anaesthesia 2017; 72:1532–1541.

De Jong A, Molinari N, Conseil M, et al. Video laryngoscopy versus direct laryngoscopy for orotracheal intubation in the intensive care unit: a systematic review and meta-analysis. Intensive Care Med 2014; 40:629–639.

Griesdale DE, Liu D, McKinney J, et al. Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth 2012; 59:41–52.

Lu Y, Jiang H, Zhu YS. Airtraq laryngoscope versus conventional Macintosh laryngoscope: a systematic review and meta-analysis. Anaesthesia 2011; 66:1160–1167.

Howle R, Onwochei D, Harrison SL, et al. Comparison of videolaryngoscopy and direct laryngoscopy for tracheal intubation in obstetrics: a mixed-methods systematic review and meta-analysis. Can J Anaesth 2021; 68:546–565.

Hoshijima H, Mihara T, Maruyama K, et al. C-MAC videolaryngoscope versus Macintosh laryngoscope for tracheal intubation: a systematic review and meta-analysis with trial sequential analysis. J Clin Anesth 2018; 49:53–62.

Hoshijima H, Mihara T, Maruyama K, et al. McGrath videolaryngoscope versus Macintosh laryngoscope for tracheal intubation: a systematic review and meta-analysis with trial sequential analysis. J Clin Anesth 2018; 46:25–32.

Huang HB, Peng JM, Xu B, et al. Video laryngoscopy for endotracheal intubation of critically ill adults: a systemic review and meta-analysis. Chest 2017; 152:510–517.

Zhao BC, Huang TY, Liu KX. Video laryngoscopy for ICU intubation: a meta-analysis of randomised trials. Intensive Care Med 2017; 43:947–948.

Lewis SR, Butler AR, Parker J, et al. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation: a Cochrane Systematic Review. Br J Anaesth 2017; 119:369–383.

Lewis SR, Butler AR, Parker J, et al. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database Syst Rev 2016; 11:CD011136.

Hoshijima H, Kuratani N, Hirabayashi Y, et al. Pentax Airway Scope® vs Macintosh laryngoscope for tracheal intubation in adult patients: a systematic review and meta-analysis. Anaesthesia 2014; 69:911–918.

Bhattacharjee S, Maitra S, Baidya DK. A comparison between video laryngoscopy and direct laryngoscopy for endotracheal intubation in the emergency department: a meta-analysis of randomized controlled trials. J Clin Anesth 2018; 47:21–26.

Hoshijima H, Maruyama K, Mihara T, et al. Airtraq® reduces the hemodynamic response to tracheal intubation using single-lumen tubes in adults compared with the Macintosh laryngoscope: a systematic review and meta-analysis of randomized control trials. J Clin Anesth 2018; 47:86–94.

Rombey T, Schieren M, Pieper D. Video versus direct laryngoscopy for inpatient emergency intubation in adults. Dtsch Arztebl Int 2018; 115:437–444.

Jiang J, Kang N, Li B, et al. Comparison of adverse events between video and direct laryngoscopes for tracheal intubations in emergency department and ICU patients-a systematic review and meta-analysis. Scand J Trauma Resusc Emerg Med 2020; 28:10.

Araújo B, Rivera A, Martins S, et al. Video versus direct laryngoscopy in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials. Crit Care 2024; 28:1.

Kent ME, Sciavolino BM, Blickley ZJ, et al. Video laryngoscopy versus direct laryngoscopy for orotracheal intubation in the out-of-hospital environment: a systematic review and meta-analysis. Prehosp Emerg Care 2024; 28:221–230.

Hansel J, El-Boghdadly K. Are we there yet? The long journey of videolaryngoscopy into the mainstream. Anaesthesia 2023; 78:931–936.

Bradley JA, Urman RD, Yao D. Challenging the traditional definition of a difficult intubation: what is difficult? Anesth Analg 2019; 128:584–586.

Zhang J, Jiang W, Urdaneta F. Economic analysis of the use of video laryngoscopy versus direct laryngoscopy in the surgical setting. J Comp Eff Res 2021; 10:831–844.

Alsumali A, Noppens R. Cost effectiveness of video laryngoscopy for routine use in the operating room. Trends Anaesth Crit Care 2018; 23:10.

Pennington E, Bell S, Hill JE. Should video laryngoscopy or direct laryngoscopy be used for adults undergoing endotracheal intubation in the prehospital setting? A critical appraisal of a systematic review. J Paramed Pract 2023; 15:255–259.

Aghamohammadi H, Massoudi N, Fathi M, et al. Intubation learning curve: comparison between video and direct laryngoscopy by inexperienced students. J Med Life 2015; 8:150–153.

Sakles JC, Mosier J, Patanwala AE, et al. Learning curves for direct laryngoscopy and GlideScope® video laryngoscopy in an emergency medicine residency. West J Emerg Med 2014; 15:930–937.

Lorenzen U, Marung H, Eimer C, et al. Quality and safety in prehospital airway management - retrospective analysis of 18,000 cases from an air rescue database in Germany. BMC Emerg Med 2024; 24:157.

Vuolato C, Caldiroli D, Orena EF. Effects of direct laryngoscopy versus Glidescope videolaryngoscopy on subjective and objective measures of cognitive workload: an in-vivo randomized trial. Minerva Anestesiol 2021; 87:971–978.

Aseri S, Ahmad H, Vallance H. Video laryngoscopy improves endotracheal intubation training for novices. Br J Anaesth 2015; 115:133.

Herbstreit F, Fassbender P, Haberl H, et al. Learning endotracheal intubation using a novel videolaryngoscope improves intubation skills of medical students. Anesth Analg 2011; 113:586–590.

Paolini JB, Donati F, Drolet P. Review article: video-laryngoscopy: another tool for difficult intubation or a new paradigm in airway management? Can J Anaesth 2013; 60:184–191.

Howard-Quijano KJ, Huang YM, Matevosian R, et al. Video-assisted instruction improves the success rate for tracheal intubation by novices. Br J Anaesth 2008; 101:568–572.

Low D, Healy D, Rasburn N. The use of the BERCI DCI Video Laryngoscope for teaching novices direct laryngoscopy and tracheal intubation. Anaesthesia 2008; 63:195–201.

Kaplan MB, Ward DS, Berci G. A new video laryngoscope-an aid to intubation and teaching. J Clin Anesth 2002; 14:620–626.

Kelly FE, Cook TM. Seeing is believing: getting the best out of videolaryngoscopy. Br J Anaesth 2016; 117 (Suppl 1):i9–i13.

Edelman DA, Duggan LV, Lockhart SL, et al. Prevalence and commonality of nontechnical skills and human factors in airway management guidelines: a narrative review of the last 5 years. Anaesthesia 2022; 77:1129–1136.

Samuels JD, Tangel VE, Lui B, et al. Adoption of video laryngoscopy by a major academic anesthesia department. J Comp Eff Res 2021; 10:101–108.

Theiler L, Cook T, Aziz M. Kristensen MS, Cook T. Videolaryngoscopy. Core topics in airway management Cambridge: Cambridge University Press; 2020; 153–160.

McNarry AF, Patel A. The evolution of airway management - new concepts and conflicts with traditional practice. Br J Anaesth 2017; 119 (Suppl 1):i154–i166.

Jaber S, De Jong A, Pelosi P, et al. Videolaryngoscopy in critically ill patients. Crit Care 2019; 23:221.

De Jong A, Myatra SN, Roca O, et al. How to improve intubation in the intensive care unit. Update on knowledge and devices. Intensive Care Med 2022; 48:1287–1298.

Kaplan MB, Ward DS, Berci G. A new video laryngoscope - an aid in intubation and teaching. J Educ Perioper Med 2003; 5:E025.

Kshetrapal K, Panu N, Popli S, et al. Comparing the learning curve of laryngoscopy using macintosh laryngoscope with or without video assistance for tracheal intubation by novices after manikin training. Trend Anaesth Crit Care 2023; 50:101251.

Kelly FE, Martinoni Hoogenboom E, Groom P. Human factors and teaching benefits of videolaryngoscopes are based on evidence. Anaesthesia 2023; 78:792–793.

Chrimes N, Higgs A, Hagberg CA, et al. Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies. Anaesthesia 2022; 77:1395–1415.

Duffey OJ. Inter-hospital variability may be a potential barrier to universal videolaryngoscopy for anaesthetists in training in the UK. Anaesthesia 2024; 79:555–556.

Wong P, Lim WY. Aligning difficult airway guidelines with the anesthetic COVID-19 guidelines to develop a COVID-19 difficult airway strategy: a narrative review. J Anesth 2020; 34:924–943.

De Jong A, Pardo E, Rolle A, et al. Airway management for COVID-19: a move towards universal videolaryngoscope? Lancet Respir Med 2020; 8:555.

Hemmerling TM, Zaouter C. Videolaryngoscopy: is there a path to becoming a standard of care for intubation? Anesth Analg 2020; 131:1313–1316.

Wylie NW, Durrant EL, Phillips EC, et al. the VL-iCUE Group. Videolaryngoscopy use before and after the initial phases of the COVID-19 pandemic: the report of the VL-iCUE survey with responses from 96 countries. Eur J Anaesthesiol 2024; 41:296–304.

De Jong A, Sfara T, Pouzeratte Y, et al. Videolaryngoscopy as a first-intention technique for tracheal intubation in unselected surgical patients: a before and after observational study. Br J Anaesth 2022; 129:624–634.

McNarry AF, M Cook T, Baker PA, et al. The Airway Lead: opportunities to improve institutional and personal preparedness for airway management. Br J Anaesth 2020; 125:e22–e24.

Saul SA, Ward PA, McNarry AF. Airway management: the current role of videolaryngoscopy. J Pers Med 2023; 13:1327.

Mulcaster JT, Mills J, Hung OR, et al. Laryngoscopic intubation: learning and performance. Anesthesiology 2003; 98:23–27.

Bosse G, Breuer JP, Spies C. The resistance to changing guidelines--what are the challenges and how to meet them. Best Pract Res Clin Anaesthesiol 2006; 20:379–395.

Law JA, Duggan LV, Asselin M, et al. Canadian Airway Focus Group. Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient. Can J Anaesth 2021; 68:1373–1404.

Law JA, Duggan LV, Asselin M, et al. Canadian Airway Focus Group. Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 2. Planning and implementing safe management of the patient with an anticipated difficult airway. Can J Anaesth 2021; 68:1405–1436.

Gómez-Ríos MA, Sastre JA, Onrubia-Fuertes X, et al. Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I. Rev Esp Anestesiol Reanim (Engl Ed) 2024; 71:171–206.

Gómez-Ríos MA, Sastre JA, Onrubia-Fuertes X, et al. Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part II. Rev Esp Anestesiol Reanim (Engl Ed) 2024; 71:207–247.

Gómez-Ríos MA, Sastre J, Mayo-Yáñez M, et al. A new perspective on managing the difficult airway: the guidelines of the Spanish societies of anesthesiology, reanimation and pain therapy (SEDAR), emergency medicine (SEMES) and otorhinolaryngology and head and neck surgery (SEORL-CCC). Emergencias 2024; 36:303–308.

Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia 2023; 78:343–355.

Zasso FB, Perelman VS, Ye XY, et al. Effects of prior exposure to a visual airway cognitive aid on decision-making in a simulated airway emergency: A randomised controlled study. Eur J Anaesthesiol 2021; 38:831–838.

Sturesson LW, Persson K, Olmstead R, et al. Influence of airway trolley organization on efficiency and team performance: a randomized, crossover simulation study. Acta Anaesthesiol Scand 2023; 67:44–56.

Marshall SD, Mehra R. The effects of a displayed cognitive aid on nontechnical skills in a simulated ’can’t intubate, can’t oxygenate’ crisis. Anaesthesia 2014; 69:669–677.

Ambardekar AP, Rosero EB, Bhoja R, et al. A randomized controlled trial comparing learners’ decision-making, anxiety, and task load during a simulated airway crisis using two difficult airway aids. Simul Healthc 2019; 14:96–103.

Gómez-Ríos MÁ, Van Zundert AAJ, Fernández-Vaquero MÁ. A call for standardized videolaryngoscopy evaluation. Eur J Anaesthesiol 2025; 42:380–381.

Fernández-Vaquero MÁ, Van Zundert AAJ, Gómez-Ríos MÁ. Tracheal intubation with videolaryngoscopy: bridging the language gap. Rev Esp Anestesiol Reanim (Engl Ed) 2025; 501676[Epub ahead of print].

Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39:1105–1111.

Levitan RM, Ochroch EA, Kush S, et al. Assessment of airway visualization: validation of the percentage of glottic opening (POGO) scale. Acad Emerg Med 1998; 5:919–923.

Kohse EK, Siebert HK, Sasu PB, et al. A model to predict difficult airway alerts after videolaryngoscopy in adults with anticipated difficult airways - the VIDIAC score. Anaesthesia 2022; 77:1089–1096.

Dohrmann T, Gutsche N, Kramer R, et al. Prospective development and validation of a universal classification for paediatric videolaryngoscopic tracheal intubation: the PeDiAC score. Anaesthesia 2024; 79:1201–1211.

Adnet F, Borron SW, Racine SX, et al. The intubation difficulty scale (IDS): proposal and evaluation of a new score characterizing the complexity of endotracheal intubation. Anesthesiology 1997; 87:1290–1297.

Swann AD, English JD, O’Loughlin EJ. The development and preliminary evaluation of a proposed new scoring system for videolaryngoscopy. Anaesth Intensive Care 2012; 40:697–701.

Chaggar RS, Shah SV, Berry M, et al. The Video Classification of Intubation (VCI) score: a new description tool for tracheal intubation using videolaryngoscopy: a pilot study. Eur J Anaesthesiol 2021; 38:324–326.

Ericsson KA. Ericsson KA, Charness N, Feltovich PJ, Hoffman RR. The influence of experience and deliberate practice on the development of superior expert performance. The Cambridge handbook of expertise and expert performance Cambridge: Cambridge University Press; 2006; 683–704.

Savoldelli GL, Schiffer E, Abegg C, et al. Learning curves of the Glidescope, the McGrath and the Airtraq laryngoscopes: a manikin study. Eur J Anaesthesiol 2009; 26:554–558.

Buis ML, Maissan IM, Hoeks SE, et al. Defining the learning curve for endotracheal intubation using direct laryngoscopy: a systematic review. Resuscitation 2016; 99:63–71.

Ott S, Müller-Wirtz LM, Bustamante S, et al. VLS trial group. Learning tracheal intubation with a hyperangulated videolaryngoscopy blade: sub-analysis of a randomised controlled trial. Anaesthesia 2024; 80:395–403.

Nielsen RP, Nikolajsen L, Paltved C, et al. Effect of simulation-based team training in airway management: a systematic review. Anaesthesia 2021; 76:1404–1415.

Vanderbilt AA, Mayglothling J, Pastis NJ, et al. A review of the literature: direct and video laryngoscopy with simulation as educational intervention. Adv Med Educ Pract 2014; 5:15–23.

Kelly FE, Frerk C, Bailey CR, et al. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: guidelines from the Difficult Airway Society and the Association of Anaesthetists. Anaesthesia 2023; 78:458–478.

Cook TM, Woodall N, Frerk C. Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 2011; 106:617–631.

Cook TM, Woodall N, Harper J, et al. Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth 2011; 106:632–642.

Corbett L, Kelly FE, Cook TM. Development and maintenance of direct laryngoscopy skills using a videolaryngoscope with a Macintosh-shaped blade. Anaesthesia 2024; 79:1255–1256.

Pass M, Di Rollo N, McNarry AF. Videolaryngoscopy in critical care and emergency locations: moving from debating benefit to implementation. Br J Anaesth 2023; 131:434–438.

Pieters BM, Eindhoven GB, Acott C, et al. Pioneers of laryngoscopy: indirect, direct and video laryngoscopy. Anaesth Intensive Care 2015; 43Suppl:4–11.

Moraes ACBK, Nascimento CDDD, Souza EG, et al. Advancements in additive manufacturing for video laryngoscopes: a comprehensive scoping and technological review. Syst Rev 2023; 12:236.

Alves MA, Foggiatto JA, Berti LF, et al. The development of video laryngoscope via additive manufacturing for use in a prehospital environment. Res Biomed Eng 2024; 40:15–23.

Gorman L, Dickson AN, Monaghan M, et al. Novel co-axial, disposable, low-cost 3D printed videolaryngoscopes for patients with COVID-19: a manikin study. Eur J Anaesthesiol Intensive Care 2023; 2:e0015.

Lambert CT, John SC, John AV. Development and performance testing of the low-cost, 3D-printed, smartphone-compatible ’Tansen Videolaryngoscope’ vs. Pentax-AWS videolaryngoscope vs. direct Macintosh laryngoscope: a manikin study. Eur J Anaesthesiol 2020; 37:992–998.

Detoni PB, Nascimento JS, Araújo Azi LMT, et al. McGrath MAC versus three-dimensional printed video laryngoscopes: a randomized, manikin-simulated noninferiority controlled study with medical students. Anesth Analg 2025; 140:334–341.

Saitch H, Scholz A, Brennan F. A comparison of the sustainable value of single-use direct laryngoscopes versus re-usable videolaryngoscopes. Br J Anaesth 2022; 128:e331.

McGain F, Muret J, Lawson C, et al. Environmental sustainability in anaesthesia and critical care. Br J Anaesth 2020; 125:680–692.

Cook TM, Aziz MF. Has the time really come for universal videolaryngoscopy? Br J Anaesth 2022; 129:474–477.

Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med 2011; 104:510–520.

Shime N, Ono A, Chihara E, et al. Current practice of preoperative fasting: a nationwide survey in Japanese anesthesia-teaching hospitals. J Anesth 2005; 19:187–192.

Human Factors in Airway Management: Designing Systems for Safer, Team-Based Care