Can't Intubate Can't Oxygenate; Roadside to Resus
The Resus Room
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The Importance of Surgical Tracheostomy for Children and Infants
The ideal scenario would be a surgeon who knows their way around. The risk of damaging the laryngeal cartilage is basically the reason for discouraging this approach. A surgical approach might well be something you consider if that is something that you are more familiar with, but there is no evidence to support its use.
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