Recent Advances in Anesthesiology

Volume: 3

An Update on Can't Intubate, Can't Oxygenate Situation (CICO) Scenarios

Author(s): María Eugenia Centeno Robles, Emilio Herrero Gento, María Paez Hospital and María Elena Pinilla Carbajo

Pp: 89-95 (7)

DOI: 10.2174/9789811432385120030012

* (Excluding Mailing and Handling)


A difficult airway is defined as the clinical situation in which a conventionally trained anaesthesiologist experiences difficulty with facemask ventilation of the upper airway, difficulty with tracheal intubation, or both.

The greatest challenge is “cannot intubate and cannot oxygenate (CICO)” scenarios. This is a true emergency situation because if spontaneous effective breathing does not recover and the surgical airway cannot be established, CICO often ends in a catastrophe.

Keywords: Bougie, Brain damage, Cricothyroidotomy, Death, Emergency, Hypoxia, Intubation, Oxygenation, Scalpel, Supraglottic, Ventilation, Videolaryngoscope.

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