PMID- 33783373 OWN - NLM STAT- MEDLINE DCOM- 20210728 LR - 20210728 IS - 2575-3126 (Electronic) IS - 2575-3126 (Linking) VI - 15 IP - 4 DP - 2021 Mar 30 TI - The Formulation of Cognitive Aids and a Systematic Approach to Emergency Front-of-Neck Access, Following a "Can't Intubate, Can't Oxygenate" Crisis in a Patient With Ankylosing Spondylitis. PG - e01436 LID - 10.1213/XAA.0000000000001436 [doi] AB - A patient with ankylosing spondylitis in a "can't intubate, can't oxygenate" situation was rescued with cannula cricothyrotomy and transtracheal jet oxygenation. The case revealed clinical and systematic weaknesses, leading to standardization and reorganization of our equipment. Prepackaged cannula cricothyrotomy sets were placed in standardized locations in the operating rooms in line with our institution's "cannula first" policy. Cognitive aids specific to emergency front-of-neck access (eFONA) were created and placed strategically with the eFONA equipment to prompt and guide operators during airway emergencies. The aids have also been incorporated into our training curriculum to encourage their use. CI - Copyright (c) 2021 International Anesthesia Research Society. FAU - Zhang, Jinbin AU - Zhang J AD - From the Department of Anaesthesiology, Tan Tock Seng Hospital, Singapore. FAU - Ong, Shimin AU - Ong S AD - From the Department of Anaesthesiology, Tan Tock Seng Hospital, Singapore. FAU - Toh, Han AU - Toh H AD - Department of Anaesthesia, Woodlands Health Campus, Singapore. LA - eng PT - Journal Article DEP - 20210330 PL - United States TA - A A Pract JT - A&A practice JID - 101714112 SB - IM MH - Airway Management MH - Cannula MH - Cognition MH - *Emergencies MH - Humans MH - *Spondylitis, Ankylosing COIS- The authors declare no conflicts of interest. EDAT- 2021/03/31 06:00 MHDA- 2021/07/29 06:00 CRDT- 2021/03/30 12:24 PHST- 2021/03/30 12:24 [entrez] PHST- 2021/03/31 06:00 [pubmed] PHST- 2021/07/29 06:00 [medline] AID - 02054229-202104000-00003 [pii] AID - 10.1213/XAA.0000000000001436 [doi] PST - epublish SO - A A Pract. 2021 Mar 30;15(4):e01436. doi: 10.1213/XAA.0000000000001436.