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It is safe to say that the laryngoscope is one of the most recognisable tools within anaesthesia. A piece of equipment that has evolved throughout the years to be used by airway specialists, the humble laryngoscope allows us to perform one of the fundamentals of anaesthesia: to intubate an airway.
The COVID-19 pandemic has accelerated a trend within anaesthesia – a move away from direct laryngoscopy (DL) towards video laryngoscopy (VL) as the primary method of intubating the airway.1 Indeed, from recent conversations with my colleagues about their choice of airway tool, I’ve noted a general theme: DL is fast becoming an unfavoured and unfamiliar technique for management of a patient’s airway. This sentiment was reflected in the updated Difficult Airway Society (DAS) guidelines in 2015: laryngoscopy as part of Plan A can now comprise either DL or VL attempts.2
As a medical student, someone once told me that helping patients stop smoking was the single best intervention available to us as doctors. I’ve never found a reference for that, but it stuck with me.
While I might not have the evidence for my claim, we do know that each year, smoking-related disease costs the NHS £2.6 billion and causes up to 76,000 deaths. The good news is that rates of smoking are decreasing each year, with the latest figure at 12.9%.
Aside from the general health benefits of quitting, several specific perioperative outcomes exist.
When I returned to my role as a CR&I/RCoA perioperative quality improvement programme (PQIP) fellow, I found this came with unique expectations and required planning. Hopefully by sharing what I learnt, it will help those who are returning to work after a period of leave, especially those returning to job roles that do not necessarily fit the norm.
Returning to work: general things to consider
When RTW there are key dates and tasks to consider. Table 1 details some of the things that need to be arranged and when these need to be done. There are also many resources to consult (see below ). Using these in conjunction with your hospital policy is a good starting point.