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A case series of the Royal Perth Hospital cannula-first approach in the 'can't intubate, can't oxygenate' scenario.
Anaesth Intensive Care
May 2024
Department of Anaesthesia, Amsterdam University Medical Center, Amsterdam, The Netherlands.
At the Royal Perth Hospital, we have been developing and teaching a can't intubate, can't oxygenate (CICO) rescue algorithm for over 19 years, based on live animal simulation. The algorithm involves a 'cannula-first' approach, with jet oxygenation and progression to scalpel techniques if required in a stepwise fashion. There is little reported experience of this approach to the CICO scenario in humans.
View Article and Find Full Text PDFCurrent practice pattern among anaesthesiologists for difficult airway management: A nationwide cross-sectional survey.
Indian J Anaesth
September 2023
Dr. D. Y. Patil Medical College, Department of Anaesthesilogy, Nerul, Navi Mumbai, Maharashtra, India.
Background And Aims: The practice patterns for airway management vary among anaesthesiologists, depending on various setups and geographical divides. This survey assessed practice patterns in unanticipated difficult intubation and cannot intubate or cannot ventilate (CICV) situations/complete ventilation failure among Indian anaesthesiologists'.
Methods: A validated questionnaire of 22 items related to practice preferences for airway management among anaesthesiologists was sent to Indian Society of Anaesthesiologists members online through Google Forms and distributed manually to delegates in continuing medical education programme.
Prophylactic cannula cricothyroidotomy and percutaneous oxygen insufflation with the Rapid-O2®: A simple and effective tool for enhancing safety in difficult airway management.
Anaesth Intensive Care
July 2023
Department of Anaesthesia and Pain Management, Nepean Hospital, Kingswood, Australia.
Prophylactic cannula cricothyroidotomy is a recognised technique for actual or potential difficult airway management, where it confers a number of technical and non-technical benefits. Oxygenation with this technique is traditionally achieved by way of pressure-regulated, high flow jet ventilation and requires specialised equipment and considerable expertise for safe use, neither of which are always readily available. As an alternative, we describe the management of two patients with progressive upper airway obstruction in whom prophylactic cannula cricothyroidotomy and oxygen insufflation were performed using equipment which we consider is safer, widely available and already familiar to most anaesthetists throughout Australia.
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