Improving Emergency Cricothyroidotomies: Simulation-Based Training for Critical Care Providers.

Crit Care Nurs Q

Duke University Nurse Anesthesia Program, Duke University School of Nursing, Durham, North Carolina (Drs Clark, Morgan, and Goode); Department of Evolutionary Anthropology, Duke University, Durham, North Carolina (Dr Schmitt); Department of Anesthesiology, Duke University Hospital, Durham, North Carolina (Dr Harman); and Johns Hopkins University School of Nursing, Baltimore, Maryland (Dr Goode).

Published: September 2021

This article discusses skill proficiency of providers related to emergency cricothyroidotomies. Various techniques to improve procedural skills were studied. Accurate identification of the cricothyroid membrane via palpation remained consistently inadequate. High-fidelity simulation including the use of human cadavers may be the preferred method of skill training for crisis management. The authors emphasize that additional research is needed regarding a method for rapid cricothyroid membrane identification as well as needle cricothyroidotomy versus surgical airway on cadavers. More consistent training will enable emergency care providers to perform this rare but lifesaving skill.

Download full-text PDF

Source
http://dx.doi.org/10.1097/CNQ.0000000000000354DOI Listing

Publication Analysis

Top Keywords

emergency cricothyroidotomies
8
care providers
8
cricothyroid membrane
8
improving emergency
4
cricothyroidotomies simulation-based
4
simulation-based training
4
training critical
4
critical care
4
providers article
4
article discusses
4

Similar Publications

Cricothyroidotomy in out-of-hospital cardiac arrest: An observational study.

Resusc Plus

December 2024

Ambulance Victoria, 375 Manningham Rd, Doncaster, Melbourne, Victoria 3108, Australia.

Aim: To describe the incidence, characteristics, success rates, and outcomes of out-of-hospital cardiac arrest (OHCA) patients receiving cricothyroidotomy.

Methods: Over an 18-year period, we retrospectively analysed patient care records and cardiac arrest registry data for cricothyroidotomy cases. Multivariable logistic regression analysis was used to examine associations between study characteristics and cricothyroidotomy success.

View Article and Find Full Text PDF

Background: The factors related to emergency intervention for internal medicine conditions leading to airway obstruction are not clear.

Objective: We aimed to identify factors associated with emergency interventions in acute airway obstructive diseases (AAODs).

Methods: This is a retrospective observational single-center study.

View Article and Find Full Text PDF

Objective  Emergency cricothyroidotomy (EC) is a rare procedure used to establish airway access when both endotracheal intubation and bag-mask ventilation have failed. Point-of-care ultrasound (POCUS) has been proposed as an adjunct to aid in identifying anatomical landmarks. However, its impact on emergency physicians when performing EC remains unclear.

View Article and Find Full Text PDF

Laryngospasm following orthognathic surgery: an unusual case report.

J Korean Assoc Oral Maxillofac Surg

October 2024

Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Korea.

This study discusses laryngospasm following orthognathic surgery and requiring emergency intubation, followed by systemic complications due to a hypoxic event. A 34-year-old male patient underwent orthognathic surgery due to facial asymmetry. When emerging from general anesthesia, blood pressure elevated suddenly, and severe agitation occurred.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!