Invasive Airway Access in the “Cannot Intubate, Cannot Ventilate” Situation

“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...

Cannot ventilate, difficult to intubate.

EDITOR: We read with interest the letter by Slater and Bhatia [1] and would like to congratulate them on their successful management. We agree that the safest approach for their patient would have been an awake fibreoptic intubation. However, we would like to make a few comments. From the history and picture, it is not clear whether the patient had a prosthesis fitted into the left orbital cavi...

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

Sugammadex and the cannot intubate / cannot ventilate scenario in patients with predicted difficult airway ( 1 )

Editor—Curtis and colleagues presented an interesting case in which a patient with anticipated difficult intubation was paralysed with rocuronium and developed a cannot intubate/cannot ventilate (CI/CV) situation. Sugammadex was administered, resulting in successful recovery of the patient’s motor strength, but ventilation was still impossible, presumably due to swelling of the airway and bleed...

Can sugammadex save a patient in a simulated 'cannot intubate, cannot ventilate' situation?

Recent studies have shown that the use of high dose rocuronium followed by sugammadex provides a faster time to recovery from neuromuscular blockade following rapid sequence induction than suxamethonium. In a manikin-based 'cannot intubate, cannot ventilate' simulation, we studied the total time taken for anaesthetic teams to prepare and administer sugammadex from the time of their initial deci...