Anaesthesia in medical emergencies

In the hospital, with an expected difficult airway fibreoptic awake intubation should be performed. With a not difficult airway, airway management according to the rescuer's skills should be attempted. In a 'cannot ventilate, cannot intubate' situation, a supraglottic airway should be used and, if ventilation is still unsuccessful, a surgical airway should be achieved. Capnography should be used in every ventilated patient. Continuous clinical practice is essential to retain anaesthesia and airway management skills.