New CPG: Management of Can’t intubate, can’t oxygenate (CICO) airway emergency

The CPG committee has developed a Management of can’t intubate, can’t oxygenate (CICO) airway emergency CPG.

The Key points for the CPG are

  1. Can’t Intubate Can’t Oxygenate (CICO) situations are life threatening emergencies due to airway obstruction that require immediate Front of Neck Access (FONA) to the trachea
  2. True CICO emergencies in children are rare. Ensure all reversible causes of airway obstruction such as laryngospasm and upper airway obstruction have been corrected, and the indications for a CICO emergency have been met prior to performing FONA
  3. Continue attempting oxygenation via facemask with an oropharyngeal airway while the CICO equipment is mobilised and while the FONA is performed
  4. Equipment required to perform FONA must be pre-prepared in all intubating locations

The CPG forms part of suite of airway CPGs covering: Emergency airway management; Emergency airway management in COVID-19 context; Inhaled foreign body; and Acute upper airway obstruction



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