Abstract
The International Liaison Committee on Resuscitation (ILCOR) and the European Resuscitation Council (ERC) advocate a stepwise approach to airway management in cardiac arrest and if an advanced airway is required, proficient practitioners should preferentially employ tracheal intubation.1 Whilst there are numerous benefits to placement of a tracheal tube (TT), there are foreseeable situations in which tracheal intubation is not necessary and arguably there may be some benefit in alternative airway management, at least during initial resuscitation. This author proposes that even for the advanced responder, as anesthesiologists and intensive care physicians, the decision to site a TT should not be routine and should instead be reserved for select cases.
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