Transition to CICO report

A report on "Transition from supraglottic to infraglottic rescue in the 'can’t intubate can’t oxygenate' (CICO) scenario" has been prepared.         

The comprehensive report, prepared by the ANZCA Airway Management Working Group, is now available here.


This is a comprehensive review of the background to CICO, the importance of providing appropriate education and support in decision making regarding when to proceed, and also the development of a Cognitive Aid to help at point-of-care. 


The decision to transition to a surgical airway is an important but difficult step in airway management and whilst many algorithms for management of the difficult airway have been promulgated, the contents of this report provide cutting-edge information consistent with practice in Australia and New Zealand.


This report provides a comprehensive resource that underpins the upcoming professional document PS61 Guidelines for the Management of Evolving Airway Obstruction: Transition to the Can’t Intubate Can’t Oxygenate Airway Emergency and it's accompanying background paper. It also supports the next stage of the practical implementation of this decision making process which is the CPD-based CICO component under emergency responses.


The Airway Management Working Group was convened by the ANZCA Safety and Quality Committee and includes key members of the Airway Special Interest Group who have worked very hard to achieve this result. This report is the first of a number of key airway resources that will be published by ANZCA. The next planned is to be on airway assessment.


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