As the summer is underway, we may find time to contemplate and reflect on the issues related to anaesthesia and airway management.
To illustrate the unexpected nature of difficult airways, Pandit and Heidegger (Anaesthesia 2017; 72: 283-95) paraphrased the opening line of Tolstoy’s Ana Karenina stating that ‘all easy airways are alike, each difficult airway is difficult in its own way’.
That unexpected nature of the airway management difficulty is perhaps a good reason to read this month’s article of the month while sitting in your garden on a lazy Sunday afternoon with a glass of your favourite refreshment.
This month’s article of the month is a narrative review of the strategies for the prevention of airway complications. The article provides an excellent overview of the current evidence pointing towards potential surprises and how to avoid them. I am still working on making some of these strategies part of my routine when managing the airway. I am picking one strategy at a time and making it become a habit so I can implement it without actively thinking about whether or how.