Can’t Intubate, Can’t Oxygenate
Can’t Intubate, Can’t Oxygenate (CICO) - An anaesthetic emergency requiring clear communication, a structured approach, preparation for ESA
INDICATIONS A – protection and patencyB – respiratory failure (hypercapnic or hypoxic), increase FRC, decrease WOB, secretion management/ pulmonary toilet, to facilitate bronchoscopyC – minimise oxygen consumption and optimize oxygen delivery (e.g. sepsis)D – unresponsive to pain, terminate seizure, prevent…