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Of clinicians surveyed, 66.4% considered 3 or higher intubation attempts difficult, while only 10.9% considered Cormack-Lehane level 3-4 view with direct laryngoscopy difficult. Furthermore, over 50% would select VL as his or her first-line device for expected difficult intubation. These results claim that physicians inconsistently translate tough intubations, particularly in situations concerning VL. There is a need for supplier education and standardization of airway document