What we used, what we saw, what we did: towards a shared language for videolaryngoscopy.

Abstract

Videolaryngoscopy is now recommended as a first-line technique for tracheal intubation in many clinical settings. However, documentation practises continue to rely on concepts developed for direct laryngoscopy, where the laryngeal view was closely linked to intubation success. In videolaryngoscopy, the link between excellent visualisation and ease of tube delivery may be less direct, limiting the interpretative value of view-based descriptors alone. Rather than proposing new classification systems, this editorial advocates a process-based descriptive language structured around three elements: what was used, what was seen, and what was done. This framework has the potential to complement existing grading systems and clinical guidelines and improve the clarity and usefulness of airway documentation in modern practice.