The OxyTain Algorithm: An Approach to Airway Management in the Cannot Intubate and Cannot Oxygenate Scenario.
Schechtman SA1, Buist M, Cloyd BH, Tremper KK, Healy DW.
Author information
1
From the Department of Anesthesiology, Michigan Medicine - University of Michigan Medical School, Ann Arbor, Michigan.
Erratum in
The OxyTain Algorithm: An Approach to Airway Management in the Cannot Intubate and Cannot Oxygenate Scenario: Erratum. [A A Pract. 2019]
Abstract
Although rare, cannot intubate and cannot oxygenate situations are challenging acute events. The development of management algorithms, standardized equipment provisions, and appropriate clinical training in the application of front-of-neck access techniques are necessary to optimize procedural success to ensure adequate oxygenation. The OxyTain algorithm is an institutionally developed protocol to manage cannot intubate and cannot oxygenate events. With proper implementation, this unique process aligning the cannula cricothyroidotomy and scalpel bougie as primary and secondary techniques, respectively, can potentially optimize procedural success. This algorithmic approach is trained routinely among our anesthesia providers, while the equipment is standardized throughout our anesthetizing locations.

Comment in
A Commendable and Sensible but Not Novel Approach. [A A Pract. 2019]
OxyTain Cannot Intubate, Cannot Oxygenate Algorithm. [A A Pract. 2019]
OxyTain Algorithm: Not Original Work. [A A Pract. 2019]
PMID: 31091201 DOI: 10.1213/XAA.0000000000000982