Management of pediatric 'cannot intubate, cannot oxygenate'.

Area of Science:

• Pediatric Emergency Medicine
• Airway Management
• Critical Care

Background:

• The

Observation:

• A 3-year-old boy presented with cardiac arrest due to airway obstruction, a

Findings:

• Percutaneous cannula cricothyroidotomy and scalpel cricothyroidotomy were anatomically challenging in this pediatric CICO case.
• Emergent tracheostomy using the scalpel-finger-bougie technique on the proximal trachea was performed.

Implications:

• This case underscores the difficulties of standard emergency airway procedures in pediatric CICO.
• The scalpel-finger-bougie tracheostomy technique offers a potentially life-saving alternative in challenging pediatric CICO scenarios.
• Anatomical considerations in pediatric airway emergencies necessitate a broader range of procedural options.