Airway management is a medical process that used to control the ventilation in clear airway problems. Most of times obstructed airway occurs due to loss of consciousness which is common in patients with serious illness or patients who require resuscitation, which may lead to cardiorespiratory arrest. In which a rapid assessment of a patient’s airway, ventilation and lung oxygenation is required to avoid hypoxia and its complications on the brain and other organs. Difficult airway management is being an alarming issue in anesthesia and in emergencies that the anesthesiologists faced with ventilation mask, tracheal incubation in some cases. The current study's goals are to evaluate and contrast the procedures and recommendations for difficult airway management that employed in selected Libyan hospitals. Using a questionnaire, the study was conducted in five hospitals in western Libya between December 2017 and June 2018. SPSS software and the F test used to analyze the collected data. The results of this study confirmed that there is no significant difference in techniques used in management patients with of difficult intubation among compared hospitals in the selected sample. To conclude, most of airway complications are unsuspected and can increase the mortality rate, particularly in the intensive care unit and emergency department, which must have well trained, prepared and educated staff in addition the most developed devices. These complications include; pulmonary

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aspiration, esophageal intubation, and failed airway management.