Repeat airway disaster: this time it was fatal

In the July 2000 issue of JBMS, a case of an extremely difficult endotracheal intubation was published. Due to unplanned extubation protocal that patient had developed life- threatening complications in the immediate postoperative period but eventually survived. Considering her difficult airway anatomy, specific instructions were given for her future hospitalization needs. Three years later, ignoring those instructions, the patient reported with labour pain at a peripheral hospital and once again suffered from airway compromise which proved fatal. Running Title: Fatal airway disaster