{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:04:33Z","timestamp":1784307873839,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Acute epiglottitis is a life\u2010threatening emergency characterized by rapid airway obstruction and challenging airway management due to severe supraglottic edema. We report the case of a 22\u2010year\u2010old man who presented with acute epiglottitis complicated by extensive neck edema, inspiratory stridor, and progressive respiratory distress. Despite multiple attempts, endotracheal intubation failed because of severe epiglottic swelling obscuring the laryngeal inlet. However, effective bag\u2010mask ventilation was maintained, resulting in a \u201ccan ventilate but cannot intubate\u201d (CVCI) scenario rather than a \u201ccannot intubate, cannot ventilate\u201d (CICV) emergency. In accordance with difficult airway guidelines, further traumatic intubation attempts were avoided, and a planned bedside tracheostomy was successfully performed by an experienced otolaryngology surgeon with multidisciplinary support from emergency and anesthesiology teams. Oxygenation rapidly improved, and the patient recovered without complications. This case highlights the importance of accurate airway scenario recognition, preservation of oxygenation, avoidance of repeated intubation attempts, and early multidisciplinary collaboration in the management of difficult airways associated with acute epiglottitis.<\/jats:p>","DOI":"10.1002\/ccr3.72911","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:19:13Z","timestamp":1781155153000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Airway Decision\u2010Making in Acute Epiglottitis: A Case Report of Planned Tracheostomy in a Can Ventilate but Cannot Intubate (CVCI) Scenario"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1721-4432","authenticated-orcid":false,"given":"Xueting","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuquan","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yajing","family":"Kan","sequence":"additional","affiliation":[{"name":"Department of Operating Room People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinfeng","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wangsheng","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanwen","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine People's Hospital of Longhua  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102882"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000004002"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2021.8.52657"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.314"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.05.004"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev371"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-022-07365-z"},{"key":"e_1_2_11_9_1","volume-title":"PG61(A) Guideline for the Management of Evolving Airway Obstruction: Transition to the Can't Intubate Can't Oxygenate (CICO) Airway Emergency","author":"Australian and New Zealand College of Anaesthetists","year":"2017"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2021.09.015"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12245-022-00427-3"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05624-0"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000003707"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-020-01135-2"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2023.01.022"},{"issue":"7","key":"e_1_2_11_16_1","first-page":"1355","article-title":"CT in Adult Supraglottitis","volume":"17","author":"Smith M. 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