Perpetuation of Three-Axis Alignment Theory and the Sniffing Position

We have read and been taught that sniffing position is the foundation for the difficult airway as placing the patient in the “sniffing position” facilitates aligning the three axes to visualize the larynx. Do you know that the THREE AXIS ALIGNMENT THEORY was proposed by Bannister and MacBeth in 1944. What they did was to take…

Judgement Day!

According to a new study published in the Journal of Neuroscience, our brains determine how trustworthy a face is before it’s fully perceived. This supports the notion that we judge people very quickly. We anesthesia folks, often judge people subconsciously by the numbers showing on the monitor when we walk in other rooms to give anesthesia providers’…

Should We Mask Ventilate Before Giving Muscle Relaxant?

Have you ever wondered whether we should mask ventilate before giving muscle relaxant? I know we were taught that we should attempt to mask ventilate first. But is this evidence based?  The answer is that this practice is really not evidence-based. There is a growing body of evidence suggesting that the NBD should be given…

Anesthesia Apps

We can’t live without our smartphones these days. There are several good apps I really like. The apps are particularly helpful for cases I don’t do on a regular basis. So this post is dedicated to the smart phone apps. First and for foremost, my favorite app is Vargo app, which provides case tips (it is…