**4. Psychological barriers**

Psychological barriers complicate emergency airway management. This situation causes delays in the application of invasive techniques such as emergency cricothyroidotomy. The Vortex Approach has been defined to increase airway management's success rate applied under emergency conditions [11, 12]. It evaluates the steps of airway management in two parts as preparation and implementation. On the one hand, it is aimed to provide oxygenation successfully without the need for surgical techniques (**Figure 1**). On the other hand, invasive techniques are prepared before the patient is desaturated. Vortex provides effective teamwork. It is thought that this approach can increase the clinical applicability of difficult airway guidelines.
