While intubation is considered the gold standard for airway management, its challenges, particularly in cases where laryngoscopy is challenging or has failed, may necessitate the use of supraglottic airway devices (SADs) as a suitable alternative [1,2]. Recent advancements in SADs now also serve as conduits for tracheal intubation, a procedure facilitated by the use of fibreoptic bronchoscopy (FOB) [3,4]. Difficult Airway Society (DAS) guidelines endorse this technique for managing failed laryngoscopy, especially in critical situations. FOB-guided intubation through a SAD proves advantageous, providing a feasible method for tracheal tube placement and enabling laryngeal grade evaluation, particularly in cases of unsuccessful laryngoscopy [[5], [6], [7]].

This study aimed to compare the efficacy of two SADs, Ambu AuraGain™ Disposable Laryngeal Mask and i-gel™, for FOB-guided tracheal intubation in adult patients undergoing elective surgery. The primary outcome was to evaluate the success rate of intubation in the first attempt using each supraglottic airway device. The secondary outcomes were evaluation of ease of insertion of SAD, time required for successful placement of SAD, number of attempts required for insertion of SAD, fibreoptic quality of laryngeal view, number of attempts and time taken for tracheal intubation, and any additional manipulation required for insertion.