Decision making in a cannot-intubate, cannot-oxygenate scenario

Management of pediatric ‘cannot intubate, cannot oxygenate’

Case "Cannot intubate, cannot oxygenate" (CICO) is a rare, life-threatening situation. We describe a pediatric case of CICO and highlight some educational points.A 3-year-old boy who collapsed in the bathtub came to our emergency department. On admission, he went into cardiac arrest probably because of an airway obstruction. We judged his condition as CICO and carried out an emergent tracheosto...

Emergency Cricothyrotomy: Toward a Safer and More Reliable Rescue Method in "Cannot Intubate, Cannot Oxygenate" Situation.

Anesthesiology, V 123 • No 5 995 November 2015 I F oxygenation is difficult due to failed tracheal intubation and difficult ventilation via a facemask after induction of anesthesia, all the major guidelines on “difficult airway management” recommend to insert a supraglottic airway, and if that is ineffective, to gain invasive access to the infraglottic airway (such as cricothyrotomy and tracheo...

“Cannot ventilate cannot Intubate” Newborns

In any event, ventilation of the newborn must be realized with an appropriate technique within the period till the achievement of emergency tracheostomy, provision of successful intubation, or wakening of the newborn. Every anesthesiologist should be wellinformed of and familiar with at least one technique for ensuring transtracheal oxygenation in emergencies. It is also important to have the r...

The Laryngeal Mask Airway in the Scenario of Cannot Intubate-Cannot Ventilate

Two cases of the "cannot ventilate, cannot intubate" scenario in children in view of recent recommendations.

We present two cases of a "cannot ventilate, cannot intubate" scenario in children in view of the latest guidelines for the management of unexpectedly difficult paediatric airways. Case 1 was a 5-year-old boy with Treacher-Collins syndrome who suffered gastric rupture due to gastric distension with oxygen during attempts to maintain oxygenation at the induction of anaesthesia. Difficulties in m...