Cannula cricothyroidotomy and rescue oxygenation with the Rapid-O2 (TM) oxygen insufflation device in the management of a can't intubate/can't oxygenate scenario

摘要

We describe the successful use of cannula cricothyroidotomy and the Rapid-O2 (TM) oxygen insufflation device (Meditech Systems Ltd, Dorset, UK) for rescue of a can't intubate/can't oxygenate (CICO) scenario in a patient with severe airway haemorrhage post-debridement of laryngeal amyloidosis. This case highlights the practical utility of a cannula technique for CICO rescue when appropriate equipment is used and when institutional measures are taken to prepare for this rare anaesthetic crisis.