CCC Critical Care Compendium 680 2
Can’t Intubate Can’t Oxygenate (CICO)

CICO occurs when adequate alveolar oxygen delivery cannot be achieved despite best attempts at all three upper airway rescue techniques ("Lifelines"): face mask ventilation, supraglottic airway ventilation, and tracheal intubation. CICO management involves recognition of CICO, priming for FONA, and transition to FONA.

CCC Critical Care Compendium 680 2
Patient preparation for ICU bronchoscopy

Patient preparation is vital for performing bronchoscopy safely in the ICU. Key considerations include: time out, consent, and patient monitoring, patient and equipment positioning, consideration of awake versus intubated & sedated bronchoscopy, medications, ventilator settings, and effective teamwork including prebrief.