Abstract

The 4th National Audit Project (NAP4) recommended that the airway skills of trainee and consultant anaesthetists are maintained with regular education and training 1. We have developed a difficult airway ‘tea trolley’ for practising asleep/awake fibreoptic intubation and needle cricothyroidotomy that provides a cheap alternative to formal training courses (Fig. 1). Each ‘tea trolley’ teaching session is run by two anaesthetists, one of whom takes over the intra-operative care of a stable patient, releasing the listed anaesthetist for a 15-min teaching session in the anaesthetic room with the other, after which tea and cake are provided.

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