Failure to Intubate and Failure to Ventilate
This is an absolute emergency and a grave threat to life. To ensure all involved perform at their best, it is important to remain calm and follow an appropriate algorithm. The options are to find a satisfactory method of ventilation without intubation (noninvasive) or to perform a cricothyroidotomy or (potentially) tracheostomy.[1,2,75] Reduced to its simplest, the options are a) check the basics to see if intubating conditions can be improved; b) use of a supraglottic airway; or c) perform a cricothyroidotomy (Fig. 6), which may be more easily remembered using the phrase Fiddle, Larry, Stick. Once ventilation and oxygenation is achieved, the options are wake up or continue using further options undertaken in a controlled manner with additional help.
Crit Care Med. 2008;36(7):2163-2173. © 2008 Lippincott Williams & Wilkins
Cite this: The Difficult Airway in Adult Critical Care - Medscape - Jul 01, 2008.