Hyperangulated videolaryngoscopy

In the recent history of airway management, one of the most notable airway advances has been the development, widespread uptake, and use of videolaryngoscopy. Most anaesthetic clinicians will be familiar and comfortable using standard geometry or Macintosh videolaryngoscopy blades, which utilise a similar technique to traditional direct laryngoscopy. Hyperangulated videolaryngoscopy, although less familiar, has emerging evidence regarding its potential benefits, particularly in managing difficult airways. This article aims to explore the perceived challenges associated with using hyperangulated blades by understanding the equipment and its interaction with the airway anatomy. We aim to empower and reassure readers that, by understanding the technical nuances of these devices and how to best employ reliable adjuncts, this is a skill everyone can easily hone with practice and add to their airway management armamentarium.