Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2022; 10(34): 12631-12636
Published online Dec 6, 2022. doi: 10.12998/wjcc.v10.i34.12631
Emergent use of tube tip in pharynx technique in “cannot intubate cannot oxygenate” situation: A case report
Tzu-Chiao Lin, Yu-Wen Lai, Shang-Hung Wu
Tzu-Chiao Lin, Yu-Wen Lai, Shang-Hung Wu, Department of Anesthesiology, China Medical University Hospital, Taichung City 404, Taiwan
Author contributions: Lin TC and Wu SW wrote the manuscript; Lai YW was involved in data collection and analysis; Wu SW contributed to manuscript finalizing.
Informed consent statement: The patient provided written informed consent for the publication of this case report.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shang-Hung Wu, MD, Attending Doctor, Department of Anesthesiology, China Medical University Hospital, No. 2, Yude Road, North District, Taichung City 404, Taiwan. harrison61103@gmail.com
Received: September 3, 2022
Peer-review started: September 3, 2022
First decision: September 26, 2022
Revised: September 30, 2022
Accepted: November 7, 2022
Article in press: November 7, 2022
Published online: December 6, 2022
Processing time: 90 Days and 11.1 Hours
Core Tip

Core Tip: In the induction of a patient with an extended parotid tumor that invaded the airways, sudden loss of a definite airway occurred. We applied the endotracheal tube tip in the pharynx technique by leaving the tip of the endotracheal tube in front of the glottis outlet with our hand enclosing the patient’s nose and mouth to initiate ventilation. This technique not only buys us time to perform front-of-neck access of the airway or prepare other tools for reintubation but also avoids life-threatening desaturation in a “cannot intubate, cannot oxygenate” situation.