For the ‘occasional intubator’ (most rural docs) the VL gives additional comfort – particularly when our decision to intubate is often forced due to imminent respiratory failure, or severe obtundation…and invariably in an un-fasted, un-optmised patient with haemodynamic instability. In a collar. Maybe at the roadside. Quite a different kettle of fish to the ASA I/II selected cases fasted for theatre on whom we practice. Of course, the big drawback is money. The C-MAC comes in at around $15K. It’s not a device that is realistically affordable for Kangaroo Island or indeed other small health units in Australia.