• A&A practice · Nov 2019

    Review Case Reports

    Role of Ultrasound in Emergency Front of Neck Access: A Case Report and Review of Literature.

    • Umair Ansari, Laith Malhas, and Cyprian Mendonca.
    • From the University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom.
    • A A Pract. 2019 Nov 15; 13 (10): 382-385.

    AbstractEmergency front of neck access (eFONA) is a lifesaving procedure in a cannot intubate cannot oxygenate (CICO) situation. We report a case of a patient who presented to the emergency department (ED) in extremis with a difficult airway. A history of multiple neck surgeries and permanent tracheostomy from birth until the age of 17 years complicated his airway management. Altered neck anatomy led to failed intubation and oxygenation. EFONA was established with the use of rapid ultrasound imaging and using the scalpel-bougie-tube technique. We present a review of literature relating to the use of ultrasound during emergency airway management.

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