An institutional approach to the management of the 'Can't Intubate, Can't Oxygenate' emergency in children.
The 'Can't Intubate Can't Oxygenate' emergency is rare in children. Nevertheless, airway clinicians involved in pediatric airway management must be able to rescue the airway percutaneously through the front of the neck should this situation be encountered. Little evidence exists in children to guide rescue techniques, and extrapolation of adult evidence may be problematic due to anatomical differences. This document reviews the currently available evidence, and presents a practical approach to standardizing equipment, techniques, and training for managing the 'Can't Intubate Can't Oxygenate' emergency in children.
Department of Anaesthesia and Pain Management, The Royal Children's Hospital Melbourne, Parkville, Vic., Australia.|Murdoch Children's Research Institute, Parkville, Vic., Australia.
Stefano C
SC
Sabato
Murdoch Children's Research Institute, Parkville, Vic., Australia.|Department of Emergency Medicine, The Royal Children's Hospital, Parkville, Vic., Australia.|Department of Pediatrics, Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Parkville, Vic., Australia.
Elliot
E
Long
D058109:Airway Management / Q000379:methods*; D002648:Child; D004630:Emergencies; D006801:Humans
airway; airway devices; airway obstruction; cricothyroidotomy; difficult airway; pediatric; tracheotomy; transtracheal