A critical airway emergency caseefficaciously managed by the team approach, which involved an evaluation andimplementation of non-invasive airway management techniques

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  • Yunoki Kazuma
    Department of Anesthesiology and Critical Care, Kobe City Medical Center General Hospital 2-1-1 Minatojima-Minamimachi, Chuo-ku, Kobe, Hyogo, Japan
  • Kimura Takuya
    Department of Anesthesiology and Critical Care, Kobe City Medical Center General Hospital 2-1-1 Minatojima-Minamimachi, Chuo-ku, Kobe, Hyogo, Japan
  • Mima Hiroyuki
    Department of Anesthesiology and Critical Care, Kobe City Medical Center General Hospital 2-1-1 Minatojima-Minamimachi, Chuo-ku, Kobe, Hyogo, Japan

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  • チーム医療による非侵襲的気道確保の実行可能性の評価および実践が功を奏した危機的気道緊急の１症例

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Abstract

<p>“Cannot-Intubate,Cannot-Ventilate” (CICV) in patients with difficult surgical airways is amedical emergency. In this report, we detail a case of CICV complicated byhemorrhage in a patient with challenging surgical airway management, whichrequired multidisciplinary collaboration for successful resolution. A68-year-old female individual underwent emergency airway management forsuffocation caused by bilateral paralysis of the vocal cords. As intubation wasdeemed impossible, tracheostomy was performed initially, but was complicated bybleeding. Subsequently, successful nasal intubation was performed, followed bytracheotomy in the operating room. Moreover, postoperative bleeding was managedthrough collaborative efforts with other departments. When faced withdifficulties in invasive airway management, reconsideration of the feasibilityof noninvasive methods is necessary. Furthermore, critical airway emergenciesnecessitate a team approach and routine training.</p>

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