Figure 60-10 This device designed for transtracheal ventilation provides one of the best systems for emergency airway management in a child with the "can't ventilate/can't intubate" airway situation (Ventilation-Catheter, VBM Medical, Noblesville, IN). Note that the design is similar to an intravenous catheter, which means that the principles for use are familiar to all anesthesiologists and the device is small enough to allow use even in neonates. In addition to a secure 15-mm adapter (straight arrow) for interface with any standard bag ventilation device, a Luer-lok connection (curved arrow) allows jet ventilation.