Lost in transition: the challenges of getting airway clinicians to move from the upper airway to the neck during an airway crisis.

Technical and psychological factors make performance of an emergency front-of-neck airway (eFONA) a challenging procedure for clinical teams involved in airway management. When 'cannot intubate, cannot oxygenate' (CICO) emergencies occur, eFONA is frequently performed too late or not at all. The concept of transition to eFONA comprises simultaneous efforts to prevent and prepare for eFONA before a declaration of CICO in an effort to facilitate its timely and effective implementation. Although such a transition represents an appealing idea, attention to many aspects of airway practice is required for it to become an effective intervention.

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Copyright © 2020 British Journal of Anaesthesia. All rights reserved.

Déclaration de conflit d'intérêts

Declarations of interests NC is the project lead for the Project for Universal Management of Airways and the creator of the Vortex Approach but has no financial interest in any of this material which is licensed under a Creative Commons-Attribution-NonCommercial-NoDerivatives 4.0 International License. NC's partner is an employee of Verathon Inc. and he has previously accompanied her to a corporate retreat funded by Verathon Inc. AH is the Treasurer of the Difficult Airway Society, Chair of the joint DAS-ICS-FICM-RCoA guideline working group for tracheal intubation in critically ill adults and a member of the Executive Committee of the Project for Universal Management of Airways. He has previously received an honorarium from Cook. AR declares no potential conflicts of interest.