Royal Perth Hospital solution for managing the 'can't intubate, can't ventilate' crisis.

摘要

Editor-We commend the Royal College of Anaesthetists and Difficult Airway Society (DAS) in producing the Fourth National Audit Project 'Major complications of airway management'. Practicing anaesthetists should be alarmed at how ineffective traditional techniques are in managing the 'can't intubate, can't ventilate' (CICV) crisis. More than 65% (16 of 25) cricothyroidotomy attempts by anaesthetists failed to secure the airway. The authors estimate that anaesthetists in the UK are likely to experience a CICV scenario once every 6 yr. Poor management was thought to be an aetiological factor in the majority of airway-related deaths in their series prompting the authors to conclude 'research is needed to identify equipment and techniques most likely to be successful for direct tracheal access'.