Emergency cricothyroidotomy: a randomised crossover study of four methods

Summary Emergency physicians and registrars performed emergency cricothyroidotomy on an artificial airway model using a standard surgical approach and three common commercial products, participants had received no refresher training. The order in which the methods were used was randomised to minimis...

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Bibliographic Details
Published in:Anaesthesia 2008-11, Vol.63 (11), p.1204-1208
Main Authors: Dimitriadis, J. C., Paoloni, R.
Format: Article
Language:English
Subjects:
Airway management
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Clinical Competence
Cricoid Cartilage - surgery
Cross-Over Studies
Emergencies
Emergency medical care
Emergency Service, Hospital - standards
Humans
Medical equipment
Medical sciences
Models, Anatomic
Surgical techniques
Thyroid Cartilage - surgery
Time Factors
Tracheotomy - instrumentation
Tracheotomy - methods
Tracheotomy - standards
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Summary:Summary Emergency physicians and registrars performed emergency cricothyroidotomy on an artificial airway model using a standard surgical approach and three common commercial products, participants had received no refresher training. The order in which the methods were used was randomised to minimise any learning effect. Three methods (standard surgical, Minitrach II, and Quicktrach) were universally successful in obtaining ventilation within 150 s, whilst the Melker kit had a 26% failure rate and significantly longer median time to ventilation (126 s vs≤48 s for other methods, p 
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.2008.05631.x