The Airway App: Emergency Surgical Airway / Front of Neck Access (FONA)
International Airway Collaboration
www.airwaycollaboration.org
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In what setting did emergency surgical airway/ front of neck access (FONA) take place?


 
Patient Gender:


 
Approximate Patient Age:


 
Approximate BMI (Body Mass Index):


 
Patient Predictors of Difficult Airway


 
Indication(s) for emergency surgical airway/front of neck access:


 
Obstructing Airway Pathology was due to:


 
What was the grade of mask ventilation?


 
Number of Endotracheal Intubation (ETI) attempts prior to surgical airway/FONA?


 
Was a Supraglottic/Extraglottic Device (SGD/EGD) attempted prior to surgical airway/FONA?

     
 
How many attempts at SGD/EGD took place?


 
Was the patient sedated or anesthetised prior to surgical airway/FONA?

     
 
When surgical airway/FONA was performed, was the patient paralysed?

     
 
Who first attempted surgical airway/ FONA?


 
First attempt at surgical airway/FONA technique:


 
What type of cannula was used?


 
How was the cannula cricothyrotomy attached to an oxygen source?


 
What was the oxygen flow LPM (litres per minute)?


 
What was the ventilation rate per minute?


 
What was the initial pressure setting for jet ventilation?


 
Ventilation (jets/minute)


 
Approximately how long did first attempt at surgical airway/FONA take?


 
Was first attempt at surgical airway/FONA successful?

     
 
How was surgical airway/FONA confirmed?


 
Why was first attempt at surgical airway/FONA not successful?


 
When first attempt at surgical airway/FONA was unsuccessful, what happened then?


 
During the second attempt at surgical airway/FONA, what was used?


 
What type of cannula was used?


 
How was the cannula cricothyrotomy attached to an oxygen source?


 
What was the oxygen flow LPM (litres per minute)?


 
What was the ventilation rate per minute?


 
What was the initial pressure setting for jet ventilation?


 
Ventilation (jets/minute)


 
Was second attempt at surgical airway/FONA
successful?

     
 
How was second attempt at surgical airway/FONA confirmed?


 
If >2 surgical airway/FONA attempts were required, what finally worked? (may not be front of neck access to the airway)

 
During surgical airway/FONA attempt(s), what factors were beneficial?

Examples given, please include any others as free text.

 
During surgical airway/FONA attempt(s), what factors could have been improved?

Examples given, please include any others as free text.

 
Were there any immediate complications of surgical airway/FONA?


 
After the Emergency Surgical Airway/Front of Neck Access, did a debriefing occur?

     
 
We appreciate any suggestions you may have to improve The Airway App. Please include them here.

 
If you would like to share the story of your case, please email airwaycollaboration@gmail.com. We can then anonymously share vignettes and continue to learn together.

Thank-you for filling out this survey!
Was an awake intubation attempted during this airway emergency? Please consider filling out our awake intubation questionnaire too.

If you would like to share more details about your case, email us at airwaycollaboration@gmail.com.
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