Reply to Chang: After availability, training and experience are needed

Editor—We thank Dr Chang for his kind comments.¹ It is becoming increasingly common for videolaryngoscopy to be included in guidelines for the management of difficulty during intubation, and the evidence supports this.²³ With this in mind it is a concern that one of the findings of our survey was that, although videolaryngoscopy is available in the vast majority of hospitals, it generally appears to be much less available in areas where intubation fails more frequently (obstetrics, intensive care, emergency department). We hope that this has been addressed since the time the survey was completed, but if this is not the case then we hope that the guidelines and other literature, such as our survey, may stimulate change.

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