We read with great interest the study by Elliot et al. [1] regarding accuracy of surface landmark identification for cannula cricothyroidotomy. Their findings showed that accuracy when percutaneously identifying the crico-thyroid membrane is poor. One of their recommendations is that cricothyroidotomy insertion success rates may be improved by regular practice. Interestingly, they noted that only four of their participants, with a combined total of more than 159 years' clinical experience in anaesthesia, had previously performed a cricothyroidotomy. We would like to highlight our recent experiences during our ear, nose and throat training module in which we electively inserted a cricothyroi-dotomy cannula (VBM Jet Ventilation Catheter; VBM Medizintechnik GmbH, Sulz, Germany) into patients with anticipated difficult airways before induction of anaesthesia.
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