Our new editorial from @CritCareMed accompanying McDougall et al's systematic review of RCTs comparing video laryngoscopy (VL) with direct laryngoscopy (DL) in critically ill adults is now available. 👇. @SOCCA_CritCare.

RT @boston25: Nearly 400 primary care doctors at Mass General, Brigham and Women’s hospitals file to unionize

RT @PleaseBeGneiss: [getting angry at the price of eggs] i bet sauron will fix this.

placing a 20g in the largest foot vein I’ve ever seen

I’m sorry the what.

RT @DrPayItBack: Many things to be said, but if you are counting on PSLF I would start making alternate plans right now.

this is how I found out.

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bears fans 🫱🏻‍🫲🏼 Amon-Ra St Brown

turning the room temperature down for the surgeons as a little treat.

RT @JAMASurgery: Up to 82% of pregnant surgeons experience miscarriage, preterm delivery, and intrauterine growth restriction. Occupationa….

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Thank you to this team for including me on this paper, especially @CraigJabaley! . @CritCareMed .

Closing thoughts:. - “newer,” “advanced,” and “technology-based” are not synonyms for “better”.- tools are developed to improve the ability to perform tasks, and improvement requires comparison using a metric. @CritCareMed.

Other reflections:. - first pass success is a process-oriented outcome and may affect patient-centered outcomes only indirectly.- the ability to link direct interventions to outcomes is challenging, especially in the critically ill. @CritCareMed.

Our thoughts on VL & Trainees:. - Both VL and DL require extensive education and practice, but the curriculum and the procedures are different.- Appropriate learning paradigms and an optimal educational approach are under consideration for VL. @CritCareMed.

Our thoughts on VL & Trainees:. - VL facilitates a shared view of the airway, therefore improving communication and likely reducing the cognitive load when both instructing and learning a complex, multi-step process. @CritCareMed.

Our thoughts on VL & Trainees: . - VL was comparably more successful in the hands of less experienced operators.- VL probably reduces the intubator’s and, where applicable, supervisor’s anxiety during tracheal intubation. @CritCareMed .

Data from McDougall et al 2/2:. 🫁esophageal intubations, aspiration, and dental injuries were decreased in VL (but did NOT achieve significance) .🫁NO difference in failed intubation, peri-intubation physiologic complications, or mortality. @CritCareMed.

Data from McDougall et al 1/2:. 🫁20 RCTs representing 4569 patients.🫁overall rate of first pass success of 81.7% with VL and 71.7% with DL.🫁VL was associated with a 10.6% increase in first pass success (95% CI, 4.9–17.2%). @CritCareMed .