A difficult airway made worse by apprehension: an obese young male with COVID 19

Intubation of a critically ill patient in the emergency department is always considered difficult airway. Timing, factors which are not optimized, and intubation done by infrequent intubators. Add to this complications demands Covid 19 pandemic make crash intubations thing feared for personal safety as well successful completion without complications. If has intrinsic comorbid conditions contributing airway, worse procedure would be. Furthermore, pneumonia presents its own challenges preoxygenation, timing intubation, ventilation transport well. This I came across during third wave covid19 Sri Lanka, working Emergency night shift. He acute respiratory distress required ventilation.