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Can't Intubate Can't Oxygenate; Roadside to Resus
The Resus Room
When Should We Do a Front of Neck Access?
Airway management is about how we optimize every single part of that, not just the patient in front of us. Getting really good success rates initially is down to all of those things you've mentioned. But then also trying to minimize them is also about preparing to fail and setting yourself up properly. The most frequently used guideline in the UK is the DAS guidelines for unanticipated, difficult tracheal intubation in adults. And it talks about a maximum of three attempts plus an extra one if a more experienced operator can assist.
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