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5.1.2 - Emergency Front of Neck Airway Management

from Section 5.1 - Practical Respiratory System

Published online by Cambridge University Press:  27 July 2023

By
Jo Hackney
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  • Emergency cannula cricothyroidotomies are associated with high failure rates.

  • Airway management in an emergency or a remote location is associated with a higher risk of complications.

  • Anatomy of the neck is key to success in oxygenating via emergency front of neck access.

  • There is now a single recommended technique for performing emergency cricothyroidotomy agreed by both surgeons and anaesthetists.

Keywords

NAP4airway emergencycricothyroidotomyDifficult Airway Society
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 523 - 525
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Cook, T, Woodall, N, Frerk, C. NAP4: Major complications of airway management in the United Kingdom. Report and findings March 2011. 4th National Audit Project of The Royal College of Anaesthetists and The Difficult Airway Society. London: The Royal College of Anaesthetists; 2011.Google Scholar
Difficult Airway Society. 2015. DAS guidelines for management of unanticipated difficult intubation in adults 2015. das.uk.comGoogle Scholar
Goon, SSH, Stephens, RCM, Smith, H. Practical procedures. The emergency airway. www.ucl.ac.uk/anaesthesia/sites/anaesthesia/files/Airway.pdfGoogle Scholar
Gudzenko, V, Bittner, EA, Schmidt, UH. Emergency airway management. Respir Care 2010;55:1026–35.Google ScholarPubMed
Pracy, JP, Brennan, L, Cook, TM, et al. Surgical intervention during a Can’t intubate Can’t Oxygenate (CICO) event: emergency front-of-neck airway. Br J Anaesth 2016;117:426–8.CrossRefGoogle ScholarPubMed

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