• M Tariq Hanifi, Marc Philip T Pimentel, Christine Motzkus, James Gosnell, and Linda S Aglio.
• Department of Anesthesiology, Perioperative and Pain Medicine at Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, USA. Electronic address: thanifi@gmail.com.
• J Clin Anesth. 2017 Feb 1; 36: 54-58.

Study ObjectiveTo determine whether having preoperative airway photographs will change the preanesthetic airway plan.DesignQuestionnaire.SettingAmerican academic medical center (Brigham and Women's Hospital, Boston MA).SubjectsTwenty-five test subjects (American Society of Anesthesiologists 1-4) were enrolled to have their preoperative airway photographs taken as well as to have a customary preoperative history and physical examination. In addition, 15 anesthetists were enrolled to review the subjects' preoperative history, physical examination, and preoperative airway photographs.MeasurementsAll 15 anesthetists were asked to fill out a survey for airway management for each test subject.Main ResultsAll 15 anesthetists completed the survey. Across all providers, plans were changed a median of 24% (95% confidence interval [CI], 12.7-38.6). Among attending anesthesiologists, airway management plans were changed 30% of the time (95% CI, 12.4-40.0), whereas among nonattending level providers, plans changed 24% of the time (95% CI, 12.0-38.8). χ(2) Tests found no difference between the percent change of airway plans between attending and nonattending level providers (P=.306).ConclusionsOur findings suggest that the addition of dynamic airway photographs to preoperative airway reports affects airway management plans among a variety of anesthesia care providers. In general, dynamic airway photographs can aid preoperative airway management planning.Copyright © 2016 Elsevier Inc. All rights reserved.

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