I’ve never missed an airway.  I’m fairly confident that I will have little trouble with the majority of airways.  I spent time during training working directly with Nurse Anesthetists who do half a dozen or more intubations every single day.  I also get to work with them in my various ER gigs and always pick their brain for tips & tricks.  I teach a difficult airway class at the large, well-respected academic medical center nearby in order to constantly go over management and adjunctive airway devices.  In my mind, you can never know too much, nor practice to many airway techniques.

Today, I used a new product for the very first time, on a real patient, and had a very difficult airway intubated in no time at all.

The patient was overweight, had a short chin, a small mouth, buck teeth, and we could not get her saturations above 90 % no matter how hard we tried.  To anticiatpe that this coudl be a difficult airway was an understatement.  But after seeing the sales demo of the new device, as soon as she rolled in, I rolled the Glide-a-scope into her room, plugged it in and turned on the TV screen.

2 Attendings and a resident gathered for the show, and everyone, including respiratory and nursing staff could see the tube go through the vocal cords, the most sensitive indicator of proper placement.

In no time at all, her saturations were 100%, her heart rate and blood pressure stabilized and she looked (almost) as good as one can while on a ventilator.

Final score: 

Glide-a-scope: 1   Missed Intubations: 0