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.
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http://dx.doi.org/10.1097/CNQ.0000000000000354 | DOI Listing |
Indian J Anaesth
November 2024
Department of Medical, Faculty of Medicine and Health Sciences, Universiti Malaysia, Sabah, Malaysia.
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.
Cureus
October 2024
Advanced Critical Care and Emergency Center, Yokohama City University Medical Center, Yokohama, JPN.
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.
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 PDFJ 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.
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