Arin Malkomian

✅To all airway managers and #VL lovers. Today I intubated an ASA 1 patient, with a basic airway. A healthy 50 yo male with normal vital signs, BMI 22, normal mouth opening MP 1 for elective surgery. I used a direct laryngoscopy technique with a disposable Macintosh blade 3 after induction and a tube size 8.0 with propofol, remifentanil and rocuronium. Bag mask ventilation and laryngoscopy and intubation procedure were as expected straight forward. The patient was positioned in a nice sniffing position and flextension was normal. The view: CL grade 1. Including capnogram check after intubation it took us 15 - 20 seconds and we did it in a normal pace. Can anyone explain to me why some of you propagate universal VL for all patients? Sorry, that is not needed. We can triage basic from advanced airways. And yes, training in DL is required. Opinion: isn’t it better to invest more money in better airway triage and better airway training, instead of investing in very expensive VL, so we can include all the countries in the world 🌍 🌎 and use the videolaryngoscope for our patients that really need it? #DLisnotdead And why are VL still too expensive? @bobfunn @VirtueOfNothing @jducanto @DaveOlvera1 @cliffreid @airwayGladiator @EBMgoneWILD @doctimcook @dasairway @NicholasChrimes