Combining transtracheal catheter oxygenation and needle-based Seldinger cricothyrotomy into a single, sequential procedure

The American Journal of Emergency Medicine
Eric BoccioJason D'Amore

Abstract

Needle-based cricothyrotomy is a common procedure for emergency department patients requiring an emergent surgical airway. Percutaneous transtracheal jet ventilation is well studied to provide oxygenation. We propose to combine these procedures into a novel, single, and sequential procedure. This study was a prospective manikin/human cadaver procedural feasibility study performed at a medical education center. Forty-eight emergency medicine attending physicians and fellows performed the procedure on a single TraumaMan (Simulab Corporation, Seattle, WA), and 26 were randomly selected to perform the procedure on fresh, unfixed human cadavers. The procedure is as follows: 15 gauge/6F catheter-over-needle punctures cricothyroid membrane, needle is removed, and Enk oxygen flow modulator is attached to the catheter (start to oxygenation). The Enk set is detached, a guide wire introduced, and Seldinger cricothyrotomy is performed (oxygenation to cricothyrotomy). Start-to-oxygenation, oxygenation-to-cricothyrotomy, and start-to-cricothyrotomy times were recorded. Manikin procedures were verified by direct visualization, and cadaver procedures were verified by video laryngoscopy. All attempts were included in data analysis, and there wa...Continue Reading

References

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Oct 15, 2011·Prehospital and Disaster Medicine·Gregory C GivensEric A Brown

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Citations

Sep 7, 2018·Laryngoscope Investigative Otolaryngology·Sophia VilliereMark Stewart

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