Article of the Month

    

Dear colleagues and airway enthusiast 
The European Airway Management Society is introducing a new feature – Article of the Month. 
This is designed to provide an opportunity to our members to highlight and share airway related topics and to open discussion forums in order to share clinical experience for the benefit of all EAMS members. 
The Article of the Month will be made available via the EAMS website and is going to be accompanied by a short text (up to 200 words) explaining why is this article being selected. 
EAMS members with login to eamshq.net will have access to the articles as full-text PDF's.
We would like to encourage our members to propose articles of the month. The short text accompanying the article will also be made available on line with full acknowledgement of the author who proposed the article. 
The final decision to go on-line will be taken by the EAMS Board of Directors. 

Best regards 
R. Tino Greif 
President of the European Airway Management Society

    

Comment:

The most stressful situation for an anaesthesiologist may be a No intubate/No oxigenate (NINO) patient. A recent study (NAP 4) says that in spite of the fact that all algorithms have a strategy for this situation- in all of them cricotirotomy is the final solution-, the resolution is not good in most of them. Why is this? How could we correct the mistakes that arise?. Simulation has proven to be an effective tool to improve how crisis resources are managed, such as NINO patient and CPR. It allows mistakes to be analyzed and solutions found, thus improving our performance. But, what if we have a NINO patient on whom we are performing cardiopulmonary resuscitation? This study by Ott et al (BMJ 2019) tries to address this question by establishing a possible airway management situation that, however infrequent, must not be forgotten. We hope you enjoy reading it.

Ott T, Stracke J, Sellin S, et al. Impact of cardiopulmonary resuscitation on a cannot intubate, cannot oxygenate condition: a randomised crossover simulation research study of the interaction between two algorithms. BMJ Open 2019;9:e030430. doi:10.1136/bmjopen-2019-030430

Open acces link (january 23th, 2020): https://bmjopen.bmj.com/content/9/11/e030430.info

 

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