4. The Unanticipated Difficult Airway: The ‘Can't Intubate, Can't Ventilate’ Scenario
- Ian Johnston2,
- William Harrop-Griffiths3 and
- Leslie Gemmell4
Published Online: 10 NOV 2011
Copyright © 2012 The Association of Anaesthetists of Great Britain and Ireland (AAGBI)
AAGBI Core Topics in Anaesthesia
How to Cite
Popat, M. (2011) The Unanticipated Difficult Airway: The ‘Can't Intubate, Can't Ventilate’ Scenario, in AAGBI Core Topics in Anaesthesia (eds I. Johnston, W. Harrop-Griffiths and L. Gemmell), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118227978.ch4
Raigmore Hospital, Inverness, UK
Imperial College Healthcare NHS Trust, London, UK
Wrexham Maelor Hospital, Wrexham, UK
- Published Online: 10 NOV 2011
- Published Print: 29 NOV 2011
Print ISBN: 9780470658628
Online ISBN: 9781118227978
- unanticipated difficult airway;
- ‘Can't Intubate, Can't Ventilate’ (CICV);
- tracheal intubation;
- safe airway management;
- Difficult Airway Society (DAS) guidelines;
- DAS algorithm;
- CICV recognition;
- cricothyroidotomy, CICV situation;
- Portex PCK device
• The ‘can't intubate, can't ventilate’ (CICV) scenario is very rare and you should almost always be able to avoid it with good airway management skills.
• Recognize the scenario promptly if it happens.
• The decision to perform a cricothyroidotomy should be taken quickly if noninvasive methods of lung ventilation have failed.
• Use equipment and a technique of cricothyroidotomy that are most familiar to you.
• Practise airway management techniques regularly on a manikin to maintain your skills.