Surgical intervention during a Can't intubate Can't Oxygenate (CICO) Event: Emergency Front-of-neck Airway (FONA)?
نویسندگان
چکیده
event: Emergency Front-of-neck Airway (FONA)? Pracy, J.P.,* Brennan, L., Cook, T.M., Hartle, A.J., Marks, R.J., McGrath, B.A., Narula, A.* & Patel, A** *ENT, London, UK Royal College of Anaesthetists, London, UK Co-leadNAP4, Royal College of Anaesthetists, London, UK Association of Anaesthetists of Great Britain and Ireland, London, UK National Tracheostomy Lead Clinicain, Manchester, UK **Difficult Airway Society, London, UK
منابع مشابه
Front of neck access: A survey among anesthetists and surgeons
Background and Aims Emergency front of neck access (FONA) is the final step in a Can't Intubate-Can't Oxygenate (CICO) scenario. In view of maintaining simplicity and promoting standardized training, the 2015 Difficult Airway Society guidelines recommend surgical cricothyroidotomy using scalpel, bougie, and tube (SBT) as the preferred technique. Material and Methods We undertook a survey over...
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BACKGROUND Transtracheal jet ventilation (TTJV) is recommended in several airway guidelines as a potentially life-saving procedure during the 'Can't Intubate Can't Oxygenate' (CICO) emergency. Some studies have questioned its effectiveness. METHODS Our goal was to determine the complication rates of TTJV in the CICO emergency compared with the emergency setting where CICO is not described (no...
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A 'can't intubate, can't oxygenate' airway crisis is a rare event which most anaesthetists will never experience during their career(1,2). This report highlights the outcome of time-critical decisions in a potential airway catastrophe. Rocuronium was used as an alternative muscle relaxant for rapid sequence induction. The use of sugammadex in 'can't intubate, can't oxygenate' crises is discusse...
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'Can't intubate, can't oxygenate' scenarios are rare but are often poorly managed, with potentially disastrous consequences. In our opinion, all doctors should be able to create a surgical airway if necessary. More practically, at least all anaesthetists should have this ability. There should be a change in culture to one that encourages and facilitates the performance of a life-saving emergenc...
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Although anaesthetists are experts at managing a patient with airway obstruction, most have never had to perform emergency front-of-neck access (FONA) procedures. The need to resort to an emergency FONA procedure is extremely rare and may occur only once in an anaesthetist’s professional lifetime. Despite the low incidence of a cannot intubate, cannot oxygenate (CICO) crisis, the outcome accoun...
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عنوان ژورنال:
- Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
دوره 41 6 شماره
صفحات -
تاریخ انتشار 2016