ICU SAQs · Airway management
The failed airway — CICO and front-of-neck access
A CICM SAQ on the failed airway — the DAS algorithm (Plans A to CICO), the scalpel-bougie cricothyroidotomy, and the NAP4 lessons.
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Prompt
After induction of anaesthesia for emergency intubation, you cannot intubate the patient and cannot oxygenate them with a bag-valve-mask. Outline your management, including the emergency technique you would perform.
Question
After induction of anaesthesia for emergency intubation, you cannot intubate the patient and cannot oxygenate them with a bag-valve-mask. Outline your management, including the emergency technique you would perform.[1]
References5ShowHide
- [1]Higgs A, McGrath BA, Goddard C, et al. Guidelines for the management of tracheal intubation in critically ill adults (DAS 2018). British Journal of Anaesthesia, 2018.PMID 29406182
- [2]De Jong A, Molinari N, Terzi N, et al. Development and validation of the MACOCHA score for difficult ICU intubation. American Journal of Respiratory and Critical Care Medicine, 2013.PMID 23348979
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [4]Frerk C, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults Br J Anaesth, 2015.PMID 26556848
- [5]Cook TM, et al. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society (NAP4) Br J Anaesth, 2011.PMID 21447489