Endotracheal intubation is without doubt the optimal method for emergency airway management. Rapid intubation and effective ventilation are the major aims during cardiopulmonary resuscitation. As an alternative, the Combitube can be used whenever endotracheal intubation is not immediately possible. We report the successful use of the Combitube during cardiopulmonary resuscitation in two patients with bull-neck. The patients could be oxygenated and ventilated adequately with the Combitube. This case report shows that the Combitube may be a valuable tool for emergency intubation in difficult situations.