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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Cricothyroidotomy for Can't Intubate, Can't Oxygenate Situation in Emergency Department
Kripa Maharjan1, Dipesh Mangal Joshi1, Ashis Shrestha1
1Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.
Abstract:
Airway emergencies represent some of the most time-critical and high-stress situations in emergency and critical care practice. Cricothyroidotomy, though infrequently performed, remains the definitive lifesaving procedure when conventional airway management fails in a "cannot intubate, cannot oxygenate" (CICO) scenario. This viewpoint discusses a real-life experience of performing bougie-assisted cricothyroidotomy in a patient with tetanus-induced trismus, reviews the technical aspects of the procedure, and highlights the importance of preparedness, simulation training, and equipment readiness. Despite its rarity, the procedure's successful execution can be the difference between life and death, emphasizing the need for continuous skill maintenance among emergency and critical care professionals.
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