Cricothyrotomy: Seldinger Versus Surgical Technique
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چکیده
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 performed each maneuver on different cadavers in random order. A researcher pressured physicians by warning them about elapsed time.
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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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