Journal
ANAESTHESIA AND INTENSIVE CARE
Volume 40, Issue 2, Pages 344-346Publisher
AUSTRALIAN SOC ANAESTHETISTS
DOI: 10.1177/0310057X1204000220
Keywords
respiratory obstruction; laryngeal vallecular cyst; rocuronium; sugammadex
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A 'can't intubate, can't oxygenate' airway crisis is a rare event which most anaesthetists will never experience during their career(1,2). This report highlights the outcome of time-critical decisions in a potential airway catastrophe. Rocuronium was used as an alternative muscle relaxant for rapid sequence induction. The use of sugammadex in 'can't intubate, can't oxygenate' crises is discussed and highlights how, despite adequate reversal of neuromuscular blockade, the 'can't intubate, can't oxygenate' situation failed to resolve. An asymptomatic vallecular cyst was the causal factor in this scenario. Anaesthetic issues surrounding this pathology are discussed.
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