Videolaryngoscopy for awake tracheal intubation in patients with anticipated difficult airways: A prospective multicentre cohort study
Authors' conclusion
Videolaryngoscopy is an effective and safe alternative for awake tracheal intubation in patients with suspected difficult airways, achieving high success rates with few complications.
Study context
- Population
- Patients with anticipated or suspected difficult airways undergoing awake tracheal intubation with videolaryngoscopy (VL), three hospitals over 3 years
- Participants
- 312 awake tracheal intubations
- Exposure
- Non-channeled vs channeled VL
- Outcome
- Overall success rate of awake tracheal intubation using VL
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Overall success rate
Overall success rate (296/312)
94.9%
Observational data: associations, not effects.
Further findings
Overall success by device type · no differences
P = 0.984
First-attempt success
P = 0.235
- First-attempt success — First-attempt success, all patients
- 68.1%
Success when VL was the first intubation technique in the OR
- Success rate, VL as first technique (298 patients)
- 95% (283/298)
Procedure rated easy or slightly difficult
- Easy or slightly difficult, all cases
- 82.6%
- Easy or slightly difficult, by device type (82% vs 84.8%)
- P = 0.425
Safety
Most frequent complication: impaired glottic visualization due to secretions
- Impaired glottic visualization due to secretions
- 8.1%
Original publication
Videolaryngoscopy for awake tracheal intubation in patients with anticipated difficult airways: A prospective multicentre cohort study. Anaesth Crit Care Pain Med. Published 17 February 2026. doi:10.
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