Abstract
In the “cannot intubate, cannot ventilate” (CICV) situation, immediate intervention with invasive airway access becomes necessary. While the CICV situation is a rare occurrence, invasive airway access is a fundamental technique required by anesthesiologists. Cricothyrotomy is recommended in emergency situations given that cannula cricothyrotomy with percutaneous transtracheal jet ventilation (TTJV), surgical cricothyrotomy, and percutaneous cricothyrotomy can be performed more safely and quickly than tracheostomy. Various percutaneous cricothyrotomy kits are commercially available. Only a few anesthesiologists in Japan are sufficiently proficient in invasive airway access, underscoring the need to provide anesthesiologists with medical training in emergency invasive airway access.
