I'm reading this textbook Cumming's Otolaryngology (2026). In chapter 6 they talk about difficult airways and difficult ENT cases at JHU. One such case describes [edited for brevity]:

A 24-year-old male patient was seen in consultation for surgical resection of a malignant juvenile sarcoma of the neck of the parotid gland, inferotemporal fossa, and parapharyngeal space. Of note, he was a Jehovah’s Witness and came for his preoperative evaluation with his Jehovah’s Witness advisor.

The patient was brought to the OR for radical parotidectomy and neck dissection with an inferotemporal preauricular approach to the parapharyngeal space, dislocation of the mandible, and dissection and mobilization of the carotid artery.

He was preoxygenated after routine monitors were placed. Induction was uneventful, conventional laryngoscopy was performed, and endotracheal intubation was confirmed with capnography. A radial artery catheter was placed without difficulty.…