Individual sessions

Session 4: Managing a CICO situation - Infraglottic rescue

Aims and content	Format	Duration
Explain three parts of Andrew Heard’s CICO algorithm (aligned with workshop stations 1-3) of Session 5	PowerPoint talk, video demonstration, demonstrate CICO kit	20 min

Cannula cricothyroidotomy
[http://www.youtube.com/watch?v=Pzf29LT6VJQ]
Description: A detailed description of how to safely and successfully insert a cannula through the cricothyroid membrane or trachea for emergency jet ventilation and also how to quickly ensure correct placement.
Scalpel-bogie cricothyroidotomy
[http://www.youtube.com/watch?v=TveIsbjmakU]
Description: Surgical technique for securing an emergency airway, aimed at anaesthetisist with little surgical experience and hence little exposure to scalpel use. Avoids any scalpel manipulation and is safe, simple and fast. Developed by Dr A Heard, Royal Perth Hospital Western Australia.

Scalpel-finger-cannula cricothyroidotomy
[http://www.youtube.com/watch?v=waGiiEyzqX8]
Description: A technique for managing the can't intubate can't ventilate scenario in a patient with no or little palpable neck airway anatomy assuming initial percutaneous cannula attempts have failed.

Melker conversion of cannula cricothyroidotomy
[http://www.youtube.com/watch?v=J1pUJYOWfog]
Description: How to convert a cannula emergency airway into a definative airway. We do not recommend the Melker as a first line technique, but it is currently the only seldinger cuffed airway that we recommend for securing the airway.

Password: CICO