Fig 1 Difficult Airway Society difficult intubation guidelines: overview. Difficult Airway Society, 2015, by permission of the Difficult Airway Society.

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Fig 1 Difficult Airway Society difficult intubation guidelines: overview. Difficult Airway Society, 2015, by permission of the Difficult Airway Society. This image is not covered by the terms of the Creative Commons Licence of this publication. For permission to re-use, please contact the Difficult Airway Society. CICO, can't intubate can't oxygenate; SAD, supraglottic airway device. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults† Br J Anaesth. 2015;115(6):827-848. doi:10.1093/bja/aev371 Br J Anaesth | © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

Fig 3 The laryngeal handshake Fig 3 The laryngeal handshake. (a) The index finger and thumb grasp the top of the larynx (the greater cornu of the hyoid bone) and roll it from side to side. The bony and cartilaginous cage of the larynx is a cone, which connects to the trachea. (b) The fingers and thumb slide down over the thyroid laminae. (c) Middle finger and thumb rest on the cricoid cartilage, with the index finger palpating the cricothyroid membrane. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults† Br J Anaesth. 2015;115(6):827-848. doi:10.1093/bja/aev371 Br J Anaesth | © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

Fig 4 Cricothyroidotomy technique Fig 4 Cricothyroidotomy technique. Cricothyroid membrane palpable: scalpel technique; ‘stab, twist, bougie, tube’. (a) Identify cricothyroid membrane. (b) Make transverse stab incision through cricothyroid membrane. (c) Rotate scalpel so that sharp edge points caudally. (d) Pulling scalpel towards you to open up the incision, slide coude tip of bougie down scalpel blade into trachea. (e) Railroad tube into trachea. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults† Br J Anaesth. 2015;115(6):827-848. doi:10.1093/bja/aev371 Br J Anaesth | © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

Fig 5 Failed intubation, failed oxygenation in the paralysed, anaesthetized patient. Technique for scalpel cricothyroidotomy. Difficult Airway Society, 2015, by permission of the Difficult Airway Society. This image is not covered by the terms of the Creative Commons Licence of this publication. For permission to re-use, please contact the Difficult Airway Society. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults† Br J Anaesth. 2015;115(6):827-848. doi:10.1093/bja/aev371 Br J Anaesth | © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com