Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel.  This podcast is an exciting journey towards improved anesthesia patient safety.We have a Letter to the Editor show with exclusive content from the author that focuses on a preventable airway management disaster, unrecognized esophageal intubation. Tune in to learn about new guidelines to help prevent this event and help keep patients safe. Key points from the recommendations include using video laryngoscopy when possible and confirming sustained exhaled carbon dioxide and adequate oxygen saturation following successful tracheal intubation.Additional sound effects from: Zapsplat.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/179-a-preventable-airway-disaster/© 2023, The Anesthesia Patient Safety Foundation