I have uploaded a new colour coded CICO flowchart and equipment pack PDF, reflecting the move from the Enk to Rapid-O2 device. You can download a copy from the CICO page.

Implementation of non-luer, non-interconnectable neuraxial connectors

The International Organization for Standardization (ISO) standard for device connectors used for neural applications has been published. The devices on which these connectors will be used are neuraxial, including spinal and epidural access, cerebral intraventricular drainage and access devices, peripheral nerve anaesthesia devices and associated equipment required such as syringes, infusion connectors (patient end) etc. See ISO 80369-6 Small bore connectors for liquids and gases in healthcare applications – Part 6: Connectors for neuraxial applications.

ANZCA’s position on CICO

ANZCA has clarified its position on can’t intubate, can’t oxygenate (CICO) front of neck access in response to the release of the Royal College of Anaesthetists’ (RCoA) statement “Anaesthetists and surgeons reach agreement on front of neck emergency techniques in life-threatening ‘CICO’ situations”, associated with a BJA editorial “Surgical intervention during a can’t intubate can’t oxygenate (CICO) event: emergency front of neck airway (FONA)?”. The College does not “mandate” one approach to FONA over the other for a number of reasons. For more information, please see here.

New airway assessment resource

A new resource, Airway Assessment, has been produced for use by ANZCA Fellows and trainees to improve understanding and to guide management of airway assessment and difficult airways. It is the first of a series of airway resources and complements the Transition to CICO resource document (and ANZCA professional document PS61).

Practice points: postoperative monitoring

Understanding the time periods of highest risk and individual patient risk factors for respiratory depression may assist in efficient resource allocation in postoperative patients. Drug-induced respiratory depression is associated with significant morbidity and mortality in the postoperative period and medical devices such as telemetry systems are a valuable resource often used for monitoring patients after surgery. Read the full article on the TGA website.