I've had 3 cases of being unable to ventilate-- all survived the problem. Stay calm and remember that Oxygenation takes priority so be prepared to do a needle cric if it is needed; once the saturation starts falling you have maybe 2-3 minutes until full cardiac arrest so your options are limited.
All my cases requiring needle cric or trach had the following:
1. Tumor obstructing cords (laryngospasm- Desat- needle Cric)
2. Large hematoma on neck compromising airway with glottic edema (FOI failed)
3. Misplaced Trach with lots of Subq Air (massive facial trauma so intubation or LMA not an option).
I can't stress the fact you must remain calm and do what is required to save the patient's life. All 3 of these patients left the hospital despite the bleak situation at the time.
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Who has had a cannot ventilate scenario?
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