A Comparison of Two Emergency Cricothyroidotomy Kits in Human Cadavers

@article{Benkhadra2008ACO,
  title={A Comparison of Two Emergency Cricothyroidotomy Kits in Human Cadavers},
  author={Mehdi Benkhadra and Françoise Lenfant and Wolfgang Nemetz and Friedrich Anderhuber and Georg Feigl and Jean H D Fasel},
  journal={Anesthesia \& Analgesia},
  year={2008},
  volume={106},
  pages={182-185}
}
BACKGROUND:We compared two emergency cricothyroidotomy kits designed to avoid lesions during insertion, one based on the Seldinger technique (ST), the other based on the concept of a mechanical detection of the posterior wall of the larynx, with regard to insertion time, success rate, and complication rate. METHODS:Cricothyroidotomy was performed under fiberoptic control in 40 human cadavers embalmed according to Thiel’s technique. The set chosen for use was randomized: new technique (NT) or ST… Expand
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The two methods of cricothyrotomy in cadavers showed equally poor performance, with subjective assessment of technique and cadaver finding no statistically significant difference between both groups. Expand
Evaluation of Seldinger Technique Emergency Cricothyroidotomy versus Standard Surgical Cricothyroidotomy in 200 Cadavers
TLDR
The authors believe that it is important to train residents in different methods of cricothyroidotomy in cadavers in addition to training in mannequins to achieve a higher level of efficacy in real-life situations. Expand
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TLDR
Prehospital personnel can be trained to perform cricothyrotomies with a reasonable degree of proficiency and a traditional surgical approach may be faster and less difficult to perform than a comparable procedure using a commercially available percutaneous device. Expand
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The data suggest that this wire-guided cricothyrotomy technique is as accurate and timely to use as the standard technique and is preferred by the physician operators, and results in a smaller incision on human cadaver models. Expand
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TLDR
The Melker Emergency Cricothyrotomy Kit is described, a prepackaged kit that uses a wire-guided percutaneous dilational technique (the Seldinger technique) and a procedure-specific polyvinylchloride airway catheter, which may enable even a seasoned surgeon to secure the airway faster and more safely. Expand
Surgical vs wire‐guided cricothyroidotomy: a randomised crossover study of cuffed and uncuffed tracheal tube insertion
TLDR
It is concluded that, in this model, a cuffed device is preferable when cricothyroidotomy is needed and the surgical method is quicker than a wire‐guided approach. Expand
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TLDR
Major findings are there is a linear correlation between insertion force and device diameter, higher puncture force is associated with a greater incidence of complications, and using small pilot needles to guide insertion of large cannulas minimizes complications. Expand
What Is the Minimum Training Required for Successful Cricothyroidotomy?: A Study in Mannequins
TLDR
The authors recommend that providers of emergency airway management be trained on mannequins for at least five attempts or until their cricothyroidotomy time is 40 s or less, and practice on manNEquins leads to reductions in cric Timothyroidotomy times and improvement in success rates. Expand
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TLDR
With its easier insertion, fewer complications compared to a surgical cricothyrotomy, and the ability to use it with a standard anaesthetic circuit, the authors feel that the 6 mm Melker canula is the technique of choice for emergency trans‐tracheal ventilation. Expand
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TLDR
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