You decide to perform a cricothyroid pucture to secure a definitive airway. Now if this was one of my more generous days I'd let you carry on, but it isn't - so I won't.

Cricothyroidotomy is an important technique, and useful in management of the difficult airway. However it is not without difficulties and complications, and is used when intubation is impossible, or there is trauma to the aiway above the cricoid.