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We asked patients: if they could recall the procedure; if the pre-procedure information was adequate; to score the procedure on a visual analogue scale (0 unpleasant to 10 pleasant); and whether they would be prepared to undergo AFOI purely for training. Data were analysed using Fisher��s exact test and the Mann-Whitney U-test as appropriate. We interviewed 46 patients, but not all data fields were completed for every case. Thirty-nine (89%) stated they would be willing to undergo AFOI again for training purposes. Patients who would not have the procedure again scored it as more unpleasant than those who would (score 4.5 vs 8.0, p?=?0.07). There were no complications of sedation. Most of our patients did not find AFOI unpleasant and would be happy to undergo the procedure again purely for training. Given the willingness of patients to participate in AFOI training, an appropriate ethical debate must be had to consider this as a way of addressing the training gap. 1.?Cook TM, Woodall N, Frerk C, 4th National Audit Project of The Royal College of Anaesthetists and The Difficult Airway Society. Part 1: anaesthesia British Journal of Anaesthesia 2011; 106: 617�C31. 2.?McNarry AF, Dovell T, Dancey FML, Pead ME, Perception of training needs and advanced airway skills: a survey of British and Irish trainees European Journal of Anaesthesiology 2007; 24: 498�C504. K. M. Owen and K. O`Connor Royal Alexandra Hospital, Paisley, UK Email: A variety of ties are used to secure tracheal tubes [1,2]. Secure fixation is important to prevent unplanned tracheal extubation. No standardised tie exists within our department. Our aim was to compare the ties available in the operating theatre and test the null hypothesis that each tie provides equal tube security. A Laerdal? Airway Trainer (Laerdal Medical Ltd, Orpington, Kent, UK) was intubated with an 8?mm tracheal tube. With the cuff inflated to 20 cmH2O, the tube was secured with one of the six tube ties available in our department. A single thumb knot was tied around the tube; a shoelace knot was then secured at the left cheek after the tie had been looped around the head. The tracheal tube was then attached to a force-measuring device and pulled in a perpendicular direction to the mouth. The maximum force required to displace the tube by 50?mm was then noted. Six different ties were used three times each (Table?2); the null hypothesis was rejected (p?