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Review
.2016 Aug;26(8):784-93.
doi: 10.1111/pan.12926. Epub 2016 Jun 9.

An institutional approach to the management of the 'Can't Intubate, Can't Oxygenate' emergency in children

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Review

An institutional approach to the management of the 'Can't Intubate, Can't Oxygenate' emergency in children

Stefano C Sabato et al. Paediatr Anaesth.2016 Aug.

Abstract

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.

Keywords: airway; airway devices; airway obstruction; cricothyroidotomy; difficult airway; pediatric; tracheotomy; transtracheal.

© 2016 John Wiley & Sons Ltd.

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Comment in

  • Prevent the need for front of neck access.
    Engelhardt T, Schmidt AR, Machotta A.Engelhardt T, et al.Paediatr Anaesth. 2017 Jan;27(1):107-108. doi: 10.1111/pan.13051.Paediatr Anaesth. 2017.PMID:28004497No abstract available.

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