102 STABCric 2: Surgical Technique Against Bougie Cricothyrotomy

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The bougie-aided cricothyrotomy.

191 Surgical cricothyroidotomy is considered a critical skill in emergency airway management, though it is rarely used and fraught with complications. A variety of approaches are taught, including both the standard and rapid four-step techniques. We report a case in which an air medical crew used a gum-elastic bougie (endotracheal tube introducer), a common device in many airway kits, to facili...

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Cricothyrotomy: Seldinger Versus Surgical Technique

Debate persists regarding whether cricothyrotomy is best performed using the Seldinger or conventional surgical technique (see JWEM Feb 2000, p. 11, and J Emerg Med 1999; 17:957). Investigators in Vienna provided a 60-minute training session consisting of lectures, slides, and the tools for each method to 20 ICU residents and fellows not experienced in cricothyrotomy. Each physician then perfor...

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Melker cricothyrotomy kit: an alternative to the surgical technique.

Emergent cricothyrotomy is a potentially lifesaving procedure central to acute airway algorithms. In most cases in which cricothyrotomy is indicated, the acuteness of the airway precludes subspecialty consultation before performance of the procedure. The academic environment is an exception, in which the responsibility of securing a "difficult" cricothyroid airway may fall upon junior otolaryng...

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Comparison of a percutaneous device and the bougie-assisted surgical technique for emergency cricothyrotomy: an experimental study on a porcine model performed by air ambulance anaesthesiologists

BACKGROUND A large number of techniques and devices for cricothyroidotomy have been developed. In this study, the Portex™ Cricothyroidotomy Kit (PCK, Smiths Medical Ltd, Hythe, UK) was compared with the bougie assisted emergency surgical cricothyrotomy technique (BACT). METHODS Twenty air ambulance anaesthesiologists performed emergency cricothyrotomy on a cadaveric porcine airway model using...

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The emergent surgical airway: cricothyrotomy vs. tracheotomy.

The American Society of Anesthesiologists difficult airway algorithm identifies two acceptable emergency surgical airways in the 'cannot intubate, cannot ventilate' scenario: cricothyrotomy and tracheotomy. Little has been published regarding the emergency surgical airway practices at different institutions. The authors investigated whether the primary choice of emergency surgical airway at a m...

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ژورنال

عنوان ژورنال: Annals of Emergency Medicine

سال: 2015

ISSN: 0196-0644

DOI: 10.1016/j.annemergmed.2015.07.134