A 25-year-old man with severe anaphylaxis (BP 60/30, SpO₂ 78%) is unresponsive after IM adrenaline × 3. He has complete upper airway obstruction from

Question

A 25-year-old man with severe anaphylaxis (BP 60/30, SpO₂ 78%) is unresponsive after IM adrenaline × 3. He has complete upper airway obstruction from angioedema. Intubation has failed. SpO₂ is falling rapidly. What is the most appropriate oxygen delivery device while arranging surgical airway?

Accepted Answer

Bag-valve-mask

Answer

Venturi mask 28% (4 L/min)

Answer

Standard nasal cannula (2 L/min)

Answer

Non-rebreather mask (15 L/min)

Answer

High-flow nasal cannula (60 L/min)

CICO Emergency — RACP Adult Medicine MCQ

A 25-year-old man with severe anaphylaxis (BP 60/30, SpO₂ 78%) is unresponsive after IM adrenaline × 3. He has complete upper airway obstruction from angioedema. Intubation has failed. SpO₂ is falling rapidly. What is the most appropriate oxygen delivery device while arranging surgical airway?