Neuromuscular Block and Video Laryngoscope to Facilitate Intubation—A Survey of Current Practice in Denmark and Sweden
Authors' conclusion
NMBA use remains the standard for non-acute tracheal intubation. However, a substantial number of anaesthetists regularly employ a NMBA-free approach facilitated by high-potency opioids and video laryngoscopy, particularly in Denmark.
Study context
- Population
- Anaesthetists in Sweden and Denmarkof 3181 invited (56%)
- Participants
- 1,771 participants
- Exposure
- Denmark vs Sweden
- Denmarkn = 700
- Swedenn = 1,071
- Outcome
- Preference for NMBA for non-acute tracheal intubation
Methodological detailsbinational survey
- Binational survey
Main finding
As reported in the abstract
Preferred NMBA for non-acute tracheal intubation
- Overall preferred neuromuscular blocking agents (NMBA)
- 1365/1771 (77%)
Observational data: associations, not effects.
Further findings
Primarily opioids without NMBA
Video laryngoscopes in every operating theatre
Video laryngoscopes easily accessible outside the operating room
Preferred opioid for intubation without NMBA
- Remifentanil
- 1158/1361 (85%)
Reasons for using NMBA
- Improved intubating conditions
- 948/1771 (54%)
- Departmental tradition
- 285/1771 (16%)
- Local guidelines
- 264/1771 (15%)
- National/international guidelines
- 143/1771 (8%)
Original publication
Neuromuscular Block and Video Laryngoscope to Facilitate Intubation—A Survey of Current Practice in Denmark and Sweden. Acta Anaesthesiol Scand. Published 13 March 2026. doi:10.
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