Strategic airway management in an independent anaesthetic practice – Hurdles and possible solutions

Airway management in an independent anaesthetic practice, often with limited resources, is always challenging. Comprehensive situational awareness, detailed airway evaluation, strategic planning and efficient execution of the plan are essential components of care. Equally important is the willingness to back out if the situation demands. Although the placement of a definitive airway device is necessary for the safe conduct of anaesthesia, prevention of hypoxia and secondary insults takes priority at times of crisis and all attempts should be channelled to achieve this at all costs. The practicing anaesthesiologist must always be prepared with an airway kit for dealing with emergencies and also train support staff in managing a difficult or failed airway.