Related Experiment Video

Updated: Nov 19, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.8K

Rabbit training model for establishing an emergency front of neck airway in children

Christian P Both1, Birgit Diem2, Elena Alonso3

  • 1Department of Anaesthesiology, University Children's Hospital Zurich, Zurich, Switzerland; Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland.

British Journal of Anaesthesia
|February 2, 2021
PubMed

Insights

A novel emergency front of neck access (eFONA) technique using a rabbit cadaver model demonstrated a 95% success rate for invasive airway protection in pediatric emergencies. This training model enables rapid skill acquisition for securing an airway in children under 2 years old.

Area of Science:

  • Pediatric Anesthesiology
  • Emergency Medicine
  • Surgical Training

Background:

  • Cannot intubate, cannot oxygenate (CICO) situations are rare but critical in pediatric anesthesia.
  • Limited literature exists on emergency invasive airway procedures for children under 6 years.
  • A modified emergency front of neck access (eFONA) technique was developed for pediatric CICO scenarios.

Purpose of the Study:

  • To evaluate a modified eFONA technique for emergency invasive airway management in children.
  • To assess the success rate and performance time of the eFONA technique in a pediatric cadaver model.
  • To determine the efficacy of this training model for rapid skill acquisition.

Main Methods:

  • Twenty-nine anesthesiologists performed two eFONA attempts on rabbit cadavers after watching an instructional video.
  • The technique involved tracheotomy and intubation using a modified approach with a Frova catheter.
  • Success rate and performance time were recorded and analyzed.

Main Results:

  • The overall success rate for eFONA was 95% across 58 procedures.
  • Median performance time was 67 seconds, decreasing with subsequent attempts.
  • Performance time was faster for untrained participants (59s) than trained (72s), with no correlation to clinical experience or age.

Conclusions:

  • The developed eFONA training model effectively facilitates rapid skill acquisition.
  • The technique provides realistic anatomical conditions for emergency invasive airway procedures in children.
  • This model is particularly beneficial for training in managing CICO situations in children under 2 years old.
Abstract

Keywords:
bougiecannot intubate, cannot oxygenateemergency front of neck airwayemergency tracheotomypaediatric airwayrabbit cadaver model

More Related Videos

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique09:47

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique

Published on: April 26, 2015

16.1K
Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy10:06

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

5.8K

Related Concept Videos

Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
308
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
268