Home > Residency > PGY-3 (CA-2) > Anesthesiologists Are Old Or Bold – Never Both

Anesthesiologists Are Old Or Bold – Never Both

My ICU attending, a more experienced physician who has seen the practice of critical care evolve over decades, left me with an interesting thought yesterday. We were discussing a potentially difficult airway, and the need to be proactive rather than reactive, especially in the critically ill population.聽

Anesthesiologists are old or bold but never both.

The younger, more cavalier anesthesiologists will try to intubate with their index finger and a long straw (not really, but you get my point). Boldness is ultimately replaced by experience and understanding the team aspect of ICU medicine. “It’s better to have all hands on deck,” he said, “rather than risk placing a patient in danger.”

In retrospect, the airway was very easy and could have been established by a junior trainee; however, in the grand scheme of things, there will come a day where an unexpected difficult airway could confer serious morbidity or mortality to a patient. And it’s unnecessary. If you expect the best but plan for the worst, one will always going to place patient safety at the forefront of his or her actions.

There’s no shame in calling for extra help while聽you still can (ie, the difficult airway team in this case). 馃檪


My posts are not to serve as a replacement for recommendations provided by licensed physicians nor do they represent the opinions of Baylor College of Medicine or its affiliated institutions. Please read this site's Disclaimer and Terms of Use for more information.


Second Year Of Anesthesiology Residency (CA-2) In Retrospect

Another July, another transition to the next academic year of my training. I’m now finished …


Your email address will not be published. Required fields are marked *