Can’t Intubate Can’t Oxygenate (CICO)

CCC Critical Care Compendium 680 2

CICO occurs when adequate alveolar oxygen delivery cannot be achieved despite best attempts at all three upper airway rescue techniques ("Lifelines"): face mask ventilation, supraglottic airway ventilation, and tracheal intubation. CICO management involves recognition of CICO, priming for FONA, and transition to FONA.

Patient preparation for ICU bronchoscopy

CCC Critical Care Compendium 680 2

Patient preparation is vital for performing bronchoscopy safely in the ICU. Key considerations include: time out, consent, and patient monitoring, patient and equipment positioning, consideration of awake versus intubated & sedated bronchoscopy, medications, ventilator settings, and effective teamwork including prebrief.

Haemoptysis

CCC Critical Care Compendium 680 2

Haemoptysis is the expectoration of blood originating from the respiratory tract below the vocal cords, ranging from minor blood-streaked sputum to life-threatening haemorrhage.

VAFI and FARSI

CCC Critical Care Compendium 680 2

VAFI is video-assisted flexible intubation and FARSI is flexiscope-assisted rapid sequence intubation. These hybrid airway techniques are used to overcome supraglottic and infraglottic airway problems, respectively.