The randomized controlled trial by Aggarwal et al recently published in World Journal of Critical Care Medicine, compared the intubating laryngeal mask airway (ILMA) with the Camera Macintosh video laryngoscope (VL) for emergency intubation in critically ill adults. In this randomized cohort of 58 patients, the VL demonstrated a higher first-attempt success rate, shorter intubation time, and superior glottic visualization compared to the ILMA. However, the role of the ILMA in specific high-risk

