An elective Front-of-neck-access as an escape room in a case of tumour obstructing the airway in a child: a case report

Abstract

Little agreement exists on how to perform emergency front of the neck access (eFONA) in children less than 8 years old in cannot intubate-cannot oxygenate (CICO) situations. This uncertainty arises due to the scarcity of evidence and the predominant emphasis on CICO prevention in most paediatric difficult airway management guidelines and algorithms. An elective FONA can be implemented as a bridging technique for an anticipated CICO scenario.We present here a case of performing an elective FONA as a bridging technique in a paediatric patient with the airway obstruction caused by a gigantic tonsillar mass.