Can't intubate can't ventilate, use a small size Air-Q and the Pudgy-Baby maneuver

The incidence of difficult mask ventilation and difficult tracheal intubation is higher in obese and obstructive sleep apnea (OSA) patients [1]. When a "cannot intubate cannot ventilate" (CICV) situation is encountered, a supraglottic airway device (SAD) should be inserted to rescue ventilation. Unfortunately, failure to achieve adequate ventilation with a SAD is also common in obese and OSA patients [2] which may lead to a catastrophic outcome if a surgical airway is not immediately established.

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