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The most feared airway scenario is Can’t Intubate, Can’t Oxygenate (CICO).

This study looked at a potential alternative to the rescue procedure of  ‘front of neck access’ ie the surgical airway. The placement of an endotracheal tube in the pharynx was used as a rescue procedure to failed mask ventilation.

The Study

Markham T. et al. Effectiveness of Ventilation via an Endotracheal Tube in Pharynx Versus a Facemask in Patients With Potentially Difficult Airway: A Randomised, Crossover, and Blind Trial. Anesth Analg. 2025 Feb 1;140(2):280-289.PMID: 39705182

 

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