As technology and its skillful use advance, older techniques fall into disuse. Over time, this leads to deskilling in older techniques. Newer technologies may not be as widely available as the older ones, even within the United States. Newer technologies are often unavailable in international locations. As anesthesiologists are expected to provide emergency care in all locations, at least within their own country, they need to avoid deskilling in widely available older techniques.

In the past, direct laryngoscopy (DL) was the only widely available technique for intubation. The ability to perform difficult endotracheal intubation utilizing DL was a highly coveted skill among anesthesiologists. This also led to the development of various laryngoscope blades that had the potential to improve the success of intubation. In the last two decades, there has been an explosive growth of equipment designed to aid...

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