Table 5.

Technical Challenges Encountered and Procedure-related Feedback as Reported by Supervisors Post-Implementation

Supervisor Reported Challenges	Tracheal Intubations (N=248)
	Direct laryngoscopy (N=60)	Video laryngoscopy (N=188)	P-value
Technical Challenges
Difficulty with neck flexion/extension	6 (10%)	14 (7%)	0.59
Difficulty with laryngoscope insertion	2 (3%)	10 (5%)	0.74
Difficulty lifting laryngoscope without rocking	2 (3%)	11 (6%)	0.74
Difficulty handling tongue	3 (5%)	10 (5%)	1
Difficulty handling epiglottis	2 (3%)	17 (9%)	0.175
Difficulty with communication	0 (0%)	2 (1%)	1
Other challengesa	9 (15%)	16 (9%)	0.15
Procedure-Related Feedback Provided
Optimize patient positioning	4 (7%)	20 (10%)	0.46
Optimize body mechanics	2 (3%)	4 (2%)	0.63
Optimize patient physiology	2 (3%)	2 (1%)	0.25
Different equipment choice	1 (2%)	7 (4%)	0.68
Different equipment preparation	2 (3%)	9 (5%)	1
Improved communication	2 (3%)	4 (2%)	0.64
Crowd control	2 (3%)	1 (1%)	0.15
Better role assignment	0 (0%)	1 (1%)	1
Better understanding of anatomy	3 (5%)	15 (8%)	0.57
Different laryngoscopy handling	6 (10%)	24 (13%)	0.66
Other suggestionsb	4 (7%)	11 (6%)	0.76

^aOther challenges included: Tube styletting, CPR ongoing, pulmonary hemorrhage, C-spine precautions

^bOther suggestions included: Techniques for dealing with secretions, tube handling