Do you have a favorite oboe piece right now?
- Thou shalt have a comfortable, well-practiced mask technique.
- Thou shalt be aware of any elements of the patient's history that might have an impact on his or her airway.
- Thou shalt perform a conscientious examination of the airway.
- Thou shalt place the patient's head, neck, and shoulders in the best position possible.
- Thou shalt give enough drug to ensure the patient is adequately anesthetized before attempting to secure the airway.
- Thou shalt sweep the tongue into the hollow of the mandible.
- Thou shalt not have a "wimpy lift," as one of my attendings told me I had my first month or so in residency, when I hadn't quite developed that laryngoscope arm yet.
- Thou shalt aim for the tunnel above the arytenoids.
- Thou shalt have an LMA ready and a bougie handy.
- Thou shalt call for help promptly if you need it.
No tricks. Just know what you're doing, stick to the facts, keep your eye on the numbers, take charge and delegate, and if you need help, ASK.