A Randomized Comparison of Bougie-Assisted and TracheoQuick Plus Cricothyrotomies on a Live Porcine Model

Objectives. Cricothyrotomy is a rescue procedure in “cannot intubate, cannot oxygenate” scenarios where other methods of nonsurgical airway management have failed. We compared 2 cuffed cricothyrotomy sets, bougie-assisted cricothyrotomy (BACT) and novel percutaneous TracheoQuick Plus, on a live porc...

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Bibliographic Details
Published in:BioMed research international 2017-01, Vol.2017 (2017), p.1-6
Main Authors: Ryska, Ondrej, Tyll, Tomas, Michalek, Pavel, Henlin, Tomas
Format: Article
Language:English
Subjects:
Animals
Comparative analysis
Complications
Computer simulation
Cricoid Cartilage - surgery
Heart beat
Heart rate
Heart Rate - physiology
Intubation, Intratracheal - adverse effects
Intubation, Intratracheal - instrumentation
Intubation, Intratracheal - methods
Intubation, Intratracheal - statistics & numerical data
Models, Animal
Oxygen
Oxygen - blood
Oxygen content
Random Allocation
Respiratory tract
Saturation
Swine
Swine, Miniature
Time Factors
Tracheotomy - adverse effects
Tracheotomy - instrumentation
Tracheotomy - methods
Tracheotomy - statistics & numerical data
Trauma
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Summary:Objectives. Cricothyrotomy is a rescue procedure in “cannot intubate, cannot oxygenate” scenarios where other methods of nonsurgical airway management have failed. We compared 2 cuffed cricothyrotomy sets, bougie-assisted cricothyrotomy (BACT) and novel percutaneous TracheoQuick Plus, on a live porcine model in a simulated periarrest situation. Methods. Thirty-four anesthetized minipigs were randomly allocated into two groups: BACT technique (n=17) and TracheoQuick Plus (n=17). The primary outcome was duration of cricothyrotomy while secondary outcomes were total success rate, number of attempts, location of incision, changes in heart rate, oxygen saturation, and the incidence of complications. Results. BACT was significantly faster than TracheoQuick Plus cricothyrotomy, with a median time of 69 sec (IQR 56–85) versus 178 sec (IQR 152–272). The total success rate was without difference. 94% of BACT was performed successfully on the first attempt, while in the TracheoQuick Plus group, it was only 18% (P
ISSN:2314-6133
2314-6141
DOI:10.1155/2017/4215159