Front of neck airways

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Authors

Paolineli A.
Vedage D.
Myatt, J.

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2025

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Article

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Abstract

Front of neck airway (FONA) plays a critical role in both elective and emergency airway management and is associated with significant morbidity and mortality. This article reviews key anatomical considerations, indications for FONA, and the various techniques used to secure an airway via the anterior neck, including surgical, percutaneous and cricothyroidotomy approaches. It also addresses the management of tracheostomies and laryngectomies, emergency airway algorithms, ultrasound-guided identification of the cricothyroid membrane and complications such as expanding neck haematomas. With a focus on adult patients, the article aims to raise awareness, consolidate essential guidance and improve the safety profile of FONA through education, standardization of care and familiarity with emergency protocols. Copyright © 2025

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Anaesthesia and Intensive Care Medicine

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26

Issue

12

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