This topic aims to discuss key aspects of anesthetic and airway management for head and neck surgery. Airway management is a central part of patient care and management in Head and Neck Surgery. Common challenges in Head and Neck surgery are shared airway, distorted airway anatomy due to existing pathology; risk of airway obstruction, disconnection or loss of airway intra-operatively; risk of soiling of the airway due to bleeding and surgical debris; and the potential for airway compromise post-operatively. The option for airway management technique is influenced by patient’s factors, anesthetic needs, and surgical requirements. Intubation technique necessitating either a small or large cuffed tracheal tube with a throat pack provides the highest level of airway protection Non-intubation or open airway techniques involve mask ventilation, apneic techniques, and insufflation techniques, or the use of a laryngeal mask airway. Lastly, jet ventilation techniques may be conducted via a supraglottic, subglottic or transtracheal routes. It is essential to have clear airway management plans including rescue airway strategies that should be communicated with the surgeons and patients at the earliest opportunity.

Summary: The frequency of sexual assaults is rising by every passing day, in developed as well as non-developed countries. Many of the victims report to hospitals for possible surgery, due to related or non-related causes. The alien atmosphere of the operating rooms, the busy male and female staff, and the fear of being stripped during surgery are the main factors which need to be addressed with an empathic, if not a sympathetic attitude. Verbal contact being the most valuable tool. The authors have brought this important aspect of the clinical practice to limelight. Key words: Psychiatric Illness; Sexual Assault; Sexual Abuse Citation: Farooqi MW, Khan E, Girshin M, Patel A, Mendonca R. Considerations for patients with history of sexual assault undergoing surgical procedures. Anaesth. pain intensive care 2022;26(6): 835−836; DOI: 10.35975/apic.v26i6.2074