Successful airway management of a patient with a known difficult airway with the Direct Coupler Interface Video Laryngoscope.

We present the case of a patient who first presented with unexpected difficult laryngoscopy and intubation after induction of general anesthesia. After multiple failed attempts using direct laryngoscopy, tracheal intubation was successfully performed with the Intubating Laryngeal Mask Airway. He returned to the operating room 5 days later for another surgical procedure, and intubation was performed with the Direct Coupler Interface Video Laryngoscope on the first attempt by the same anesthesiologist.